Individual ProviderDeanna CoffmanLicensed Vocational NurseNursing Service ProvidersPractice Address837 S Palmer Ave, Tyler, TX 75701-2371(903) 426-0361(903) 343-8113PECOS EnrollmentBased on the most recent information from CMS, provider Deanna Coffman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1588295885Provider TypeIndividualFull NameCoffman, DeannaCredentialLVNGenderFemaleSole ProprietorYesEnumeration Date1/27/2020Last Updated1/27/2020Contact InformationPractice LocationPractice Address837 S Palmer Ave, Tyler, TX 75701-2371Phone(903) 426-0361FaxUnlisted FaxMailing LocationMailing Address837 S Palmer Ave, Tyler, TX 75701-2371Phone(903) 343-8113FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense177397Texas