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Individual

MR. JEFFREY S COY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNS-BC

Contact information

Practice address
3704 N OPPORTUNITY DR, CONNERSVILLE, IN 47331-1017
(765) 377-1300
Mailing address
P.O. BOX 236, BATESVILLE, IN 47006-0236
(812) 932-3371
(812) 932-3506

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28191810A
IN
363L00000X
Nurse Practitioner
SO2234
AR
363LF0000X
Family Nurse Practitioner
71003452A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71003452A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201142190
IN
Enumeration date
04/29/2009
Last updated
11/13/2023
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