Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE COFFMAN
Active Sole ProprietorBLAKE COFFMAN is a Nurse Practitioner healthcare provider located in JACKSON, Tennessee. NPI 1578262192 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JACKSON, TN
Registration Details
- NPI Number
- 1578262192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2023 (3.4650003227205 yrs)
- Last Updated
- Jun 19, 2025
- Licenses
-
35606 (TN)35606 (TN)35606 (TN)35606 (TN)35606 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
64 PALMER DRJACKSON, TN, 383058029Browse TN providers · Browse ZIP 38305
- Phone
- 7316140728
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Family Medicine
- Additional Specialty
- Internal Medicine
Other Nurse Practitioner Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| ROBBIE GRIFFIN | APN | 1518935733 |
| JUDITH BASKIN | A.P.R.N. | 1558330670 |
| CYNTHIA B FISH | APN | 1295704666 |
| MS. ALICE JEANETTE WALDROP | A.P.R.N. | 1407825805 |
| LISA ANNE CASHION | NP | 1528012671 |
| MARJORIE LYNN ROSAS | N.P. | 1609820679 |
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.