Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | TP005365P | PA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | TP003565P | PA |
NPI | 1366521593 |
---|---|
Provider Name | Jennifer Lynne Coates |
First Address | West Chester, PA 19380 |
Second Address | West Chester, PA 19380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/05/2014 |