Provider Demographics
NPI:1306435227
Name:COKER, KHRISTINA M (FNP-C)
Entity type:Individual
Prefix:
First Name:KHRISTINA
Middle Name:M
Last Name:COKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8576 E BELLEVUE HWY
Mailing Address - Street 2:
Mailing Address - City:EATON RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:48827-9578
Mailing Address - Country:US
Mailing Address - Phone:517-896-4853
Mailing Address - Fax:
Practice Address - Street 1:101 E SPICERVILLE HWY
Practice Address - Street 2:
Practice Address - City:EATON RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:48827-1919
Practice Address - Country:US
Practice Address - Phone:517-663-2705
Practice Address - Fax:517-663-9470
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704292511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily