Individual
JONATHAN MATTHEW COFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARMY PA/65D
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
774647
TX
146L00000X
Paramedic
P539664
NC
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
PA18606
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/22/2025
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