| NPI | 1285937466 |
|---|---|
| Former Name | JANELLE L COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024140083) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2025-10-24 |