Mr Jeremy Glenn Coffelt, LPN - Licensed Practical Nurse in Fort Leonard Wood, MO

Mr Jeremy Glenn Coffelt, LPN is a Licensed Practical Nurse based in Fort Leonard Wood, Missouri. Mr Jeremy Glenn Coffelt is licensed to practice in Missouri (license number 2006031395) and his current practice location is 126 Missouri Ave, Fort Leonard Wood, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 596-1600.

NPI number for Mr Jeremy Glenn Coffelt is 1710293923 and his current mailing address is 1607 Historic 66 W Lot 6, Waynesville, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710293923.

Contact Information

Mr Jeremy Glenn Coffelt, LPN
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952
(573) 596-1600
(573) 596-0555



Provider's Profile

Full NameMr Jeremy Glenn Coffelt
GenderMale
SpecialityLicensed Practical Nurse
Location126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710293923
  • Provider Enumeration Date: 08/25/2010
  • Last Update Date: 08/25/2010

Medical Identifiers

Medical identifiers for Mr Jeremy Glenn Coffelt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710293923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 2006031395 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Glenn Coffelt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeremy Glenn Coffelt, LPN
1607 Historic 66 W Lot 6,
Waynesville, MO 65583-2465

Ph: () -
Mr Jeremy Glenn Coffelt, LPN
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-1600

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Fort Leonard Wood, MO

Mrs. Shaunia Roberts, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1766    
Alma Delia Short,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473
Phone: 573-596-9143    
Leaann Weddle, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1600    Fax: 573-596-0555
Jane Evans,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Mrs. Melody Graves,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Shannon Starnes,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Mrs. Judy Kay Gray, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 210 Missouri Ave, Ctmc, Fort Leonard Wood, MO 65573
Phone: 573-596-1680    

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