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Contact Information

JACQUELINE COFFER, FNP-C
901 E SIBLEY BLVD
SOUTH HOLLAND, IL60473-1166
 Phone: 773-233-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

261QC1500X
Indicates primary specialty

NPI Profile & details for JACQUELINE COFFER · (Female)

NPI # 1528638020
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 06/28/2021
Last updated 03/07/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041246157
  • IN License # 28283705A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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