Individual
JENNA LYNN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
706 SOUTHERN CT, GULF BREEZE, FL 32561-4520
(850) 501-6983
Mailing address
706 SOUTHERN CT, GULF BREEZE, FL 32561-4520
(850) 501-6983
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9207717
FL
Other
Enumeration date
08/02/2019
Last updated
12/08/2020
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