Provider Demographics
NPI:1922741537
Name:COATS, JACHONDA SHANECIA (NP)
Entity type:Individual
Prefix:
First Name:JACHONDA
Middle Name:SHANECIA
Last Name:COATS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 MEDICAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3260
Mailing Address - Country:US
Mailing Address - Phone:346-244-4505
Mailing Address - Fax:833-471-5137
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3260
Practice Address - Country:US
Practice Address - Phone:346-244-4505
Practice Address - Fax:833-471-5137
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-176390163W00000X
TX1169543363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse