| Mr Jeremy Glenn Coffelt, LPN | |
|
126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | |
| (573) 596-1600 | |
| (573) 596-0555 |
| Full Name | Mr Jeremy Glenn Coffelt |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710293923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2006031395 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Glenn Coffelt, LPN 1607 Historic 66 W Lot 6, Waynesville, MO 65583-2465 Ph: () - | Mr Jeremy Glenn Coffelt, LPN 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-1600 |
Mrs. Shaunia Roberts, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1766 | |
Alma Delia Short, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473 Phone: 573-596-9143 | |
Leaann Weddle, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1600 Fax: 573-596-0555 | |
Jane Evans, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1765 Fax: 573-596-4900 | |
Mrs. Melody Graves, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1765 Fax: 573-596-4900 | |
Shannon Starnes, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1765 Fax: 573-596-4900 | |
Mrs. Judy Kay Gray, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 Missouri Ave, Ctmc, Fort Leonard Wood, MO 65573 Phone: 573-596-1680 |