Individual provider · NPI-1

Jean S Coffey, PhD, APRN , CPNP

Nurse Practitioner, Pediatrics · Lebanon, NH

NPI number1649268079
StatusActive
Last updated in NPPESMay 20, 2014

Details

NPI
1649268079
Entity type
Individual (NPI-1)
Name
Jean S Coffey
Credential
PhD, APRN , CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2005
Last updated
May 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics025532-23NHYes
363LP0200X Nurse Practitioner, Pediatrics101-0012248VT

Practice location

1 Medical Center Dr
Pediatrics
Lebanon, NH 03756-1000

Phone 603-653-9667 · Fax 603-650-0910

Mailing address

1 Medical Center Dr
Pediatrics
Lebanon, NH 03756-1000

Phone 603-653-9667 · Fax 603-650-0910

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