Individual
OLIVETTA TAFFNEY COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 ACORN ST, JACKSONVILLE, FL 32209-7108
(904) 329-6027
Mailing address
1130 ACORN ST, JACKSONVILLE, FL 32209-7108
(904) 329-6027
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
107227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107227
CERTIFIED NURSING ASSISTANT
FL
Enumeration date
03/29/2022
Last updated
03/29/2022
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