Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Thomas Coffman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487112678

Jake Thomas Coffman is a Student in an Organized Health Care Education/Training Program in Fulton, Missouri. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3846 Saratoga Ct
Fulton, MO 65251-3066
Phone: (573) 673-4157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487112678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019
Mailing address3846 Saratoga Ct, Fulton, MO 65251-3066

Other providers in Fulton