Provider Demographics
NPI:1447555008
Name:COFFEY, AMANDA JENKINS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JENKINS
Last Name:COFFEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:199 ROUTE 101
Mailing Address - Street 2:SUITE 6
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1735
Mailing Address - Country:US
Mailing Address - Phone:603-673-5885
Mailing Address - Fax:603-672-7150
Practice Address - Street 1:199 ROUTE 101
Practice Address - Street 2:SUITE 6
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1735
Practice Address - Country:US
Practice Address - Phone:603-673-5885
Practice Address - Fax:603-672-7150
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
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Provider Licenses
StateLicense IDTaxonomies
NH0805363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant