Individual provider · Type 1 NPI

Jared Michael Coffman

Student in an Organized Health Care Education/Training Program · Forest, VA

NPI number 1972902815 Active

Practice location

140 Odara Dr Apt 106
Forest, VA 24551-3161

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1972902815

Jared Michael Coffman's National Provider Identifier is 1972902815, issued on Aug 15, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest, VA. The record was last updated on Aug 15, 2014.