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NPI Code Detail

MEDICARE: JASMINE COFER

MEDICARE:   JASMINE  COFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1912849555
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE COFER
Provider Business Mailing Address
First Line : 3960 HARTNESS ST
Second Line :
City : MACON
State : GA
Zip : 31204-5631
Country : US
Telephone Number : 706-401-7123
Fax Number :
Provider Business Practice Location Address
First Line : 9811 W CHARLESTON BLVD STE 2-641
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7528
Country : US
Telephone Number : 855-864-4322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ JASMINE COFER ” Practice Location

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