Search › Tennessee › 363L00000X
Willett Coffman
NPI 1578262192 · on the registry since 2023 · sole proprietor
Practice
- Address
- 64 Palmer Dr
Jackson, TN 38305 - Phone
- (731) 614-0728
Additional practice sites
- 18688 Jeb Stuart Hwy, Stuart, VA
- 2545 N Washington Ave, Brownsville, TN
- 5001 E Main St, Erin, TN
- 200 W Church St, Lexington, TN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207P00000X
208100000X
207R00000X
208000000X
207Q00000X
2085R0202X
208600000X
207P00000X
208100000X
208000000X
207Q00000X
207R00000X
2085R0202X
208600000X - Licence states on file
- VA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee