| Doctor Name: | JENNIFER ANN COUGHLIN |
| NPI Number: | 1174573745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 34007685 |
| Business Practice Address: | 313 Manito Trl Mercer, PA - 161379327 |
| Business Phone Number: | 4405522322 |
| Business Fax Number: | 7244754935 |
| Mailing Address: | 508 Dickson St, Ste 2 WELLINGTON |
| State: | OH |
| Postal Code: | 440901300 |
| Phone Number: | 4406470712 |
| Fax Number: | 4406470749 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34007685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |