Individual
JACQUELINE ANN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 S MAIN ST, PARIS, IL 61944-2966
(217) 463-4340
(217) 463-4342
Mailing address
501 LAKE LAND BLVD, SUITE 202, SYSTEM PRACTICES, MATTOON, IL 61938-5283
(217) 258-3370
(217) 258-3379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003642
IL
Other
Enumeration date
10/28/2009
Last updated
07/21/2022
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