Provider Demographics
NPI:1942320593
Name:COE, CARMEN G (ACNP)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:G
Last Name:COE
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:G
Other - Last Name:GATLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP
Mailing Address - Street 1:5002 COWHORN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-9766
Mailing Address - Country:US
Mailing Address - Phone:903-614-3824
Mailing Address - Fax:903-614-3585
Practice Address - Street 1:5002 COWHORN CREEK RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-9766
Practice Address - Country:US
Practice Address - Phone:903-614-3824
Practice Address - Fax:903-614-3585
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR52539363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARR52539OtherARK NURSING LIC ACNP CRED
TXMG4503172OtherDEA