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MR. JUSTIN KEITH COAN CRNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1083612311
Individual Registrant:MR. JUSTIN KEITH COAN CRNP
Gender: M
Not Sole Proprietor
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
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
Tel: 256-386-4680 Fax: 256-386-4682
Registration Information:
NPI: 1083612311
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AL | 1079792 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
