Individual
JEFFREY W COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6451
Mailing address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
107583
MO
367500000X
Certified Registered Nurse Anesthetist
4045197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918628728
—
MO
01
—
P00267533
RAIL ROAD
—
Enumeration date
08/31/2006
Last updated
08/14/2025
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