Individual
BLAKE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 PALMER DR, JACKSON, TN 38305-8029
(731) 614-0728
Mailing address
64 PALMER DR, JACKSON, TN 38305-8029
(731) 614-0728
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0024195588
VA
207P00000X
Emergency Medicine Physician
35606
TN
207Q00000X
Family Medicine Physician
0024195588
VA
207Q00000X
Family Medicine Physician
35606
TN
207R00000X
Internal Medicine Physician
0024195588
VA
207R00000X
Internal Medicine Physician
35606
TN
208000000X
Pediatrics Physician
0024195588
VA
208000000X
Pediatrics Physician
35606
TN
208100000X
Physical Medicine & Rehabilitation Physician
0024195588
VA
208100000X
Physical Medicine & Rehabilitation Physician
35606
TN
2085R0202X
Diagnostic Radiology Physician
0024195588
VA
2085R0202X
Diagnostic Radiology Physician
35606
TN
208600000X
Surgery Physician
0024195588
VA
208600000X
Surgery Physician
35606
TN
363L00000X
Nurse Practitioner
Primary
35606
TN
Other
Enumeration date
03/02/2023
Last updated
04/24/2026
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