Search › Indiana › 208100000X
Jennifer Coffeen
NPI 1437711785 · on the registry since 2019 · sole proprietor
Practice
- Address
- 604 Legacy Plz W
La Porte, IN 46350 - Phone
- (219) 362-8761
- Fax
- (219) 362-9157
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-07
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 Indiana