Jennifer Reddish Coulter, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN152780 Issued in GA

Practice address

1094 Bermuda Run
Statesboro, GA 30458-0858

Phone

(912) 681-3111

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1033774971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 DENTON LOOP",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614936",
            "telephone_number": "912-690-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-681-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "JENNIFER",
        "middle_name": "REDDISH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN152780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atys Benjamin Cope, M.D.
• Julie Miller Costomiris, PT
• Costrini & Meadows, PC
• Dennis James Coto Jr., FNP-BC
• Cotton Ridge Physical Therapy LLC (Accelerated Rehabilitation Centers)
• Kirsten Baum Coulter, PNP
• Counseling With Kayla, LLC
• Robert D Counts, CRNA
• Angela Coussons-Dyches, FNP
• Richard Tyler Cowart, MD

• Family Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.