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Mr. Jeremy Glenn Coffelt, LPN
Licensed Practical Nurse in Fort Leonard Wood, Missouri
NPI 1710293923

Jeremy Glenn Coffelt is a Licensed Practical Nurse based in Waynesville, MO. Jeremy Glenn Coffelt practices in Fort Leonard Wood, MO and has the professional credentials of LPN. The NPI Number for Jeremy Glenn Coffelt is 1710293923 and holds a License No. 2006031395 (Missouri).

The current practice location address for Jeremy Glenn Coffelt is 126 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-1600 and via fax at 573-596-0555.

Location: 126 Missouri Ave, Fort Leonard Wood, MO, 65583-2465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710293923
Provider Name
Jeremy Glenn Coffelt
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
126 Missouri Ave, Fort Leonard Wood, MO, 65583-2465
Phone Number
573-596-1600
Fax Number
573-596-0555
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-596-1600
Fax Number
573-596-0555
person
Provider Business Mailing Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-596-1600
Fax Number
573-596-0555
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2006031395 (Missouri)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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