Jenifer D Coffman, FNP
Nurse Practitioner in South Bend, IN. Individual provider (NPI-1).
NPI number1336745504
StatusActive
Last updated in NPPESFeb 5, 2026
Details
- NPI
- 1336745504
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenifer D Coffman
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Feb 5, 2026
- Last updated
- Feb 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71010743A | IN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 4704369267 | MI | |
| 363L00000X | Nurse Practitioner | 28149680A | IN |
Practice location
5838 W Brick Rd Ste 106South Bend, IN 46628-8420
Phone 574-247-1911 · Fax 574-247-1912
Mailing address
Po Box 639295 Dept 93394Cincinnati, OH 45263-9295
Phone 484-346-1692 · Fax 855-618-6655
Other practice locations
250 E Day Rd
Mishawaka, IN 46545-3471
Mishawaka, IN 46545-3471
Phone 574-247-8700 · Fax 574-364-0675
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Portage, MI 49002-1804
Phone 269-349-8386 · Fax 269-349-8397
422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Mishawaka, IN 46545-5522
Phone 574-666-2571
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All 39 Nurse Practitioner providers in South Bend · All 3,973 providers in South Bend
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