Jonathan Matthew Cofer, Army PA/65D
Physician Assistant in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1689450496
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1689450496
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Matthew Cofer
- Credential
- Army PA/65D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 171000000X | Military Health Care Provider | – | – | |
| 146L00000X | Emergency Medical Technician, Paramedic | 774647 | TX | |
| 146L00000X | Emergency Medical Technician, Paramedic | P539664 | NC | |
| 363A00000X | Physician Assistant | PA18606 | TX |
Practice location
2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone 910-907-8922
Mailing address
2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone 910-907-8922
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