BLAKE COFFMAN

Nurse Practitioner

Active Individual
NPI: 1578262192

Practice Address

64 PALMER DR
Jackson, TN 38305

Phone: (731) 614-0728

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No 35606 (TN)
Pediatrics 208000000X No 35606 (TN)
Physical Medicine & Rehabilitation 208100000X No 35606 (TN)
Family Medicine 207Q00000X No 35606 (TN)
Internal Medicine 207R00000X No 35606 (TN)
Radiology - Diagnostic Radiology 2085R0202X No 35606 (TN)
Surgery 208600000X No 35606 (TN)
Nurse Practitioner 363L00000X Yes 35606 (TN)

Frequently Asked Questions

NPI 1578262192 is the National Provider Identifier for BLAKE COFFMAN, a Nurse Practitioner provider located in Jackson, TN. This NPI was enumerated on March 2, 2023.
BLAKE COFFMAN practices at 64 PALMER DR, Jackson, TN 38305.

Quick Facts

NPI
1578262192
Type
Individual
Enumerated
Mar 2, 2023
Last Updated
Jun 19, 2025

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