Individual provider · Type 1 NPI
Jake Thomas Coffman
Student in an Organized Health Care Education/Training Program · Fulton, MO
NPI number
1487112678
Active
Practice location
3846 Saratoga Ct
Fulton, MO 65251-3066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Fulton
About NPI 1487112678
Jake Thomas Coffman's National Provider Identifier is 1487112678, issued on Mar 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fulton, MO. The record was last updated on Mar 6, 2019.