Individual
MARY JENNIFER COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 782-4523
(256) 782-4184
Mailing address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 782-4523
(256) 782-4184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1080055
AL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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