Jean S Coffey, PHD, APRN , CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

025532-23 Issued in NH

Practice address

1 Medical Center Dr
Pediatrics
Lebanon, NH 03756-1000

Phone

(603) 653-9667

Fax

(603) 650-0910

NPI assigned

Oct 10, 2005

Last updated

May 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1649268079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9667",
            "fax_number": "603-650-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9667",
            "fax_number": "603-650-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JEAN",
        "middle_name": "S",
        "credential": "PHD, APRN , CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101-0012248",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "025532-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010958",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arielle E Coburn, APRN
• Nicholas Christopher Cochran-Caggiano, MD
• David Scott Cockrum, MD
• Marcus Philip Coe, MD
• David James Coffey, MD
• Nathan Coffey, MD, PHD
• Barry Alan Cohen, MD
• Emily Suzanne Cohen, M.D.
• Jeffrey Allen Cohen, M.D.
• Thomas A Colacchio, M.D.

• Pediatric Nurse Practitioner in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Pediatric Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.