Individual
JENNA COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-0453
Mailing address
1149 BRAGGS WAY UNIT 3408, MYRTLE BEACH, SC 29572-4677
(602) 321-9998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26988
SC
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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