BLAKE COFFMAN RN NPI 1578262192

NPI Information

  • NPI: 1578262192
  • Provider Name: BLAKE COFFMAN, RN
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 64 PALMER DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 614-0728

Map and Directions

Get Directions

NPI Details

Blake Coffman, RN is a nurse practitioner in Jackson, TN with 2 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Blake Coffman, RN NPI is 1578262192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

64 PALMER DR
JACKSON, TN
ZIP 38305-029
Phone: (731) 614-0728

The enumeration date for this NPI number is 3/2/2023 and was last updated on 6/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine35606TENNESSEENo
2207Q00000XFamily Medicine35606TENNESSEENo
3207R00000XInternal Medicine35606TENNESSEENo
4208000000XPediatrics35606TENNESSEENo
5208100000XPhysical Medicine & Rehabilitation35606TENNESSEENo
62085R0202XRadiologyDiagnostic Radiology35606TENNESSEENo
7208600000XSurgery35606TENNESSEENo
8363L00000XNurse Practitioner35606TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI