Individual
ANGELIQUE COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
971 TOMMY MUNRO DR, BILOXI, MS 39532-2137
(228) 207-1777
Mailing address
14140 BIG CREEK RD, GULFPORT, MS 39503-7893
(228) 328-8780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
896462
MS
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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