Individual provider · Type 1 NPI

Jenifer D. Coffman, FNP

Nurse Practitioner · South Bend, IN

NPI number 1336745504 Active

Practice location

5838 W Brick Rd Ste 106
South Bend, IN 46628-8420

Call (574) 247-1911 Map

Fax (574) 247-1912

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295

Other practice locations

250 E Day Rd, Mishawaka, IN 46545-3471 · (574) 247-8700
2725 Airview Blvd Ste 105, Portage, MI 49002-1804 · (269) 349-8386
422 W Mckinley Ave Ste B, Mishawaka, IN 46545-5522 · (574) 666-2571

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	4704369267 (MI)
Nurse Practitioner	363L00000X	28149680A (IN)
Nurse Practitioner Primary	363L00000X	71010743A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

Other nurse practitioner providers in South Bend

See all in South Bend →

About NPI 1336745504

Jenifer D. Coffman, FNP's National Provider Identifier is 1336745504, issued on Dec 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Bend, IN. The record was last updated on Feb 5, 2026.