Jennifer Coker, CRNP
Individual provider Active NPI Family Nurse Practitioner · Greenville, AL
NPI 1760928808 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1760928808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-131038 (AL)
- Practice address
- 101 Paul Stabler Dr
Greenville, AL 36037-3133 - Phone
- (334) 382-0734
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Hospital and Clinic, Inc
Practice addresses (Care Compare)
1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171020002933 | AL | Practitioner - Nurse Practitioner | 3173899010 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Montgomery PC | Current |
Accepting new patients | |
| Nes Tennessee Inc | Current |
Accepting new patients | |
| Moore Emergency Group, LLC | Current |
Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current |
Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Current |
Accepting new patients | |
| Nes Tennessee Inc | Family | Current |
Accepting new patients |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-131038 | AL | Yes |
Addresses
Primary practice location
101 Paul Stabler Dr
Greenville, AL 36037-3133
Mailing address
PO Box 926
Evergreen, AL 36401-0926
Phone (251) 227-2440
Other providers in Greenville, AL
- Jessica Gregory Campbell
- Marthina Renae Carter
- Prithviraj Rajaram Chavan
- City of Greenville
- Olivia Ashurst Cockrell
- James Phillip Cole
- Norie Latavia Coleman
- Comfort Care Hospice, LLC
- Robert Lister Crosby
- Crowne Health Care of Greenville, LLC
All providers in Greenville, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.