Willett Blake Coffman

Nurse Practitioner · Jackson, TN

Call (731) 614-0728 Directions

At a glance

64 Palmer Dr, Jackson, TN 38305-8029

NPPES record updated Jun 10, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

64 Palmer Dr
Jackson, TN 38305-8029

Additional reported practice locations

18688 Jeb Stuart Hwy
Stuart, VA 241711559
Phone: 2766929020
2545 N Washington Ave
Brownsville, TN 380121687
Phone: 7313073777
5001 E Main St
Erin, TN 370614115
Phone: 9312894158
200 W Church St
Lexington, TN 383512038
Phone: 7319683646
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
2023
CMS specialties
Nurse Practitioner

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Service-mix comparison is unavailable for this NPI in the imported Medicare service file.

PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1578262192
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Registry details

Primary taxonomy
Nurse Practitioner
Taxonomy code
363L00000X
Enumeration date
Mar 2, 2023
Record updated
Jun 10, 2026
More registry details
Provider type
Individual · Type 1
Other reported name
BLAKE COFFMAN

Reported taxonomies and licenses

Emergency Medicine

207P00000X

License reported: 0024195588 VA

Specialty details in registry

208100000X

License reported: 0024195588 VA

Internal Medicine

207R00000X

License reported: 0024195588 VA

Pediatrics

208000000X

License reported: 0024195588 VA

Family Medicine

207Q00000X

License reported: 0024195588 VA

Specialty details in registry

2085R0202X

License reported: 35606 TN

Nurse Practitioner

363L00000X · Primary

License reported: 35606 TN

Surgery

208600000X

License reported: 35606 TN

Emergency Medicine

207P00000X

License reported: 35606 TN

Specialty details in registry

208100000X

License reported: 35606 TN

Pediatrics

208000000X

License reported: 35606 TN

Family Medicine

207Q00000X

License reported: 35606 TN

Internal Medicine

207R00000X

License reported: 35606 TN

Specialty details in registry

2085R0202X

License reported: 0024195588 VA

Surgery

208600000X

License reported: 0024195588 VA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

64 Palmer Dr
Jackson, TN 38305-8029
Phone
(731) 614-0728
Mailing address
64 PALMER DR

JACKSON, TN 383058029
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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