Individual provider · Type 1 NPI

Jake Andrew Coffman, PA-C

Physician Assistant · Williamsport, PA

NPI number 1194199349 Active

Practice location

1705 Warren Ave Ste 101-103
Williamsport, PA 17701-2647

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Other practice locations

  • 131 Miller St, Winston Salem, NC 27103-2508 · (336) 716-8200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-06081 (NC)
Physician Assistant Primary 363A00000XMA066501 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

10 other providers at this address

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About NPI 1194199349

Jake Andrew Coffman, PA-C's National Provider Identifier is 1194199349, issued on Nov 25, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Williamsport, PA. The record was last updated on Feb 27, 2026.