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Individual

JEAN S COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, APRN , CPNP

Contact information

Practice address
1 MEDICAL CENTER DR, PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9667
(603) 650-0910
Mailing address
1 MEDICAL CENTER DR, PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9667
(603) 650-0910

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
025532-23
NH
363LP0200X
Pediatric Nurse Practitioner
101-0012248
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010958
VT
Enumeration date
10/10/2005
Last updated
05/20/2014
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