Provider Demographics
NPI:1902356314
Name:COFFING, JANEL IRENE (ARNP)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:IRENE
Last Name:COFFING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10140 CENTURION PKWY N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0532
Mailing Address - Country:US
Mailing Address - Phone:904-697-4600
Mailing Address - Fax:904-697-5102
Practice Address - Street 1:1890 LPGA BLVD STE 130
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7131
Practice Address - Country:US
Practice Address - Phone:386-274-2212
Practice Address - Fax:386-274-1508
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2025-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9255523363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner