Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN COFFEEN
Active Sole ProprietorPhysical Medicine & Rehabilitation · LA PORTE, IN
Registration Details
- NPI Number
- 1437711785
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2019 (6.8320985441657 yrs)
- Last Updated
- Jul 7, 2019
- License
-
05013129A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
604 LEGACY PLZ WLA PORTE, IN, 463505268Browse IN providers · Browse ZIP 46350
- Phone
- 2193628761
- Fax
- 2193629157
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.