Individual
JARROD KEITH COGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
5 MOBILE INFIRMARY CIR, POB SUITE 308, MOBILE, AL 36607-3513
(314) 317-0600
(314) 317-0606
Mailing address
151 WILLIAMS ST, MOBILE, AL 36606-1444
(251) 209-6078
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-109657
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134526
—
AL
Enumeration date
09/30/2011
Last updated
04/26/2022
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