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

Mrs. Jacqueline Coffer, FNP-C

Individual provider Community Health Clinic/Center · NPI 1528638020

Mrs. Jacqueline Coffer, FNP-C is a Nurse Practitioner in South Holland, Illinois. Qualified in 2020, 6 years ago. Practices with Villagehealth Dm LLC, a 155-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
6
Licensed in
IL, IN
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

901 E Sibley Blvd
South Holland, IL 60473-1166
Phone: (773) 233-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 041246157 (IL)
Community Health Clinic/Center Taxonomy 261QC1500X (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28283705A (IN)

Record details

NPI number1528638020
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Villagehealth Dm Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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