Individual provider · Type 1 NPI
Willett Blake Coffman
Nurse Practitioner · Jackson, TN
Practice location
64 Palmer Dr
Jackson, TN 38305-8029
Other practice locations
- 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 · (276) 692-9020
- 2545 N Washington Ave, Brownsville, TN 38012-1687 · (731) 307-3777
- 5001 E Main St, Erin, TN 37061-4115 · (931) 289-4158
- 200 W Church St, Lexington, TN 38351-2038 · (731) 968-3646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0024195588 (VA) |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0024195588 (VA) |
| Internal Medicine Physician | 207R00000X | 0024195588 (VA) |
| Pediatrics Physician | 208000000X | 0024195588 (VA) |
| Family Medicine Physician | 207Q00000X | 0024195588 (VA) |
| Diagnostic Radiology Physician | 2085R0202X | 35606 (TN) |
| Nurse Practitioner Primary | 363L00000X | 35606 (TN) |
| Surgery Physician | 208600000X | 35606 (TN) |
| Emergency Medicine Physician | 207P00000X | 35606 (TN) |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35606 (TN) |
| Pediatrics Physician | 208000000X | 35606 (TN) |
| Family Medicine Physician | 207Q00000X | 35606 (TN) |
| Internal Medicine Physician | 207R00000X | 35606 (TN) |
| Diagnostic Radiology Physician | 2085R0202X | 0024195588 (VA) |
| Surgery Physician | 208600000X | 0024195588 (VA) |
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…
Other nurse practitioner providers in Jackson
- Katherine E. Wyatt, A.P.R.N.Nurse Practitioner Jackson, TN NPI 1003273814
- Anna K. Younger, APRNNurse Practitioner Jackson, TN NPI 1013550839
- Kirsten SilerNurse Practitioner Jackson, TN NPI 1013559186
- Charity Reasons, NPNurse Practitioner Jackson, TN NPI 1033456884
- Lori Taylor, PhD, DNP, FNP-CNurse Practitioner Jackson, TN NPI 1033576798
- Kimba J. Keel, RNNurse Practitioner Jackson, TN NPI 1043427982
- Diane Maxwell, NPNurse Practitioner Jackson, TN NPI 1063111672
- Twonia Michelle Goyer, FNPNurse Practitioner Jackson, TN NPI 1063756922
About NPI 1578262192
Willett Blake Coffman's National Provider Identifier is 1578262192, issued on Mar 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, TN. The record was last updated on Jun 10, 2026.