Individual
MRS. JACQUELINE SIM COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
11914 ASTORIA BLVD STE 450, HOUSTON, TX 77089-6077
(281) 484-7619
Mailing address
4302 COUNTY ROAD 203, LIVERPOOL, TX 77577-8920
(281) 884-2811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1118810
TX
Other
Enumeration date
04/06/2023
Last updated
05/11/2023
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