Coffman, Blake

Coffman, Blake is an sole proprietor health care provider with primary practice located at 64 Palmer Dr , Jackson TN 38305-8029. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Coffman, Blake can be contacted via phone (731) 614-0728.

Contact Information

Primary practice address
64 Palmer Dr Jackson TN 38305-8029
Phone: (731) 614-0728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35606 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35606 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35606 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35606 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35606 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35606 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 35606 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 35606 Tennessee

Profile Details

NPI number 1578262192
LBN Legal business name Coffman, Blake
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2023
Last updated Jun 17th, 2024 - about 2 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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