JAKE THOMAS COFFMAN
NPI 1487112678
Student in an Organized Health Care Education/Training Program in Fulton, MO

Active since March 06, 2019
3846 SARATOGA CT, FULTON, MO 65251(573) 673-4157 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake Thomas Coffman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE THOMAS COFFMAN (NPI 1487112678) is an individual student in an organized health care education/training program in Fulton, Missouri and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1487112678
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE THOMAS COFFMAN
Location Address3846 SARATOGA CTFulton, MO 65251-3066
Mailing Address3846 Saratoga CtFulton, MO 65251-3066 · (573) 673-4157
Sole ProprietorNo
Enumeration DateMarch 6, 2019
NPI 1487112678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3846 SARATOGA CT, Fulton, MO 65251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Coffman's NPI number?

The NPI number for Jake Coffman is 1487112678. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Jake Coffman located?

Jake Coffman practices at 3846 Saratoga Ct, Fulton, MO 65251. The listed phone number is (573) 673-4157.

What is Jake Coffman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jake Coffman was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.