Coffey, Jean S

Coffey, Jean S is an individual health care provider with primary practice located at 1 Medical Center Dr Pediatrics, Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Coffey, Jean S can be contacted via phone (603) 653-9667.

Contact Information

Primary practice address
1 Medical Center Dr Pediatrics Lebanon NH 03756-1000
Phone: (603) 653-9667
Fax: (603) 650-0910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 101-0012248 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 025532-23 New Hampshire

Profile Details

NPI number 1649268079
LBN Legal business name Coffey, Jean S
Credentials PHD, APRN , CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated May 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649268079 NPPES
Vermont MEDICAID 1010958

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