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Jake Coffman, PA-C
NPI 1194199349 · on the registry since 2015
Practice
- Address
- 1705 Warren Ave Ste 101-103
Williamsport, PA 17701 - Phone
- (570) 321-2020
- Organisation at this address
- Wilkes Barre Vamc
Beaver Eyewear, Inc.
Kenneth R Durrwachter Md Pc
Susquehanna Physician Services
Susquehanna Physician ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 131 Miller St, Winston Salem, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- NC, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania