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MR. JUSTIN KEITH COAN CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1083612311

Individual Registrant:
MR. JUSTIN KEITH COAN CRNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1100 S JACKSON HWY SUITE 150 SHEFFIELD, AL 35660-5774 US
Tel: 256-386-4680  Fax: 256-386-4682

Contact information for business:
1100 S JACKSON HWY SUITE 150 SHEFFIELD, AL 35660-5774 US
Tel: 256-386-4680  Fax: 256-386-4682

Registration Information:
NPI: 1083612311
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1079792

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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