Individual provider · Type 1 NPI

Randall Lee Coffman, NP

Nurse Practitioner · Charlotte, NC

NPI number 1962015420 Active

Practice location

10905 Providence Rd W, Suite G200
Charlotte, NC 28277-1538

Fax (980) 488-4905

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 1901 Randolph Rd, Charlotte, NC 28207-1101 · (704) 384-5420

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X5013564 (NC)
Nurse Practitioner Primary 363L00000X5013564 (NC)

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…

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About NPI 1962015420

Randall Lee Coffman, NP's National Provider Identifier is 1962015420, issued on Aug 25, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on May 22, 2023.