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NPI Code Detail

MEDICARE: JACQUELINE COPELAND

MEDICARE: JACQUELINE COPELAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner17010CA
2363LA2100XAcute Care Nurse Practitioner17010CA

General Provider Information

NPI Number : 1881874600
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE COPELAND
Provider Business Mailing Address
First Line : 1144 65TH ST STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94608-1053
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Provider Business Practice Location Address
First Line : 1144 65TH ST STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94608-1053
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 06/09/2023

Similar Medicare Providers

1154304814 — MS. BARBARA ROSE GREGORY FNP
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414
1093727133 — MRS. MARTHA JANE LYNCH PA-C
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414
1770655508 — DENISE A. YUN MD
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414
1063783066 — MRS. CAROL LYNN WILLIAMS RN, MSN-FNP
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414
1386989630 — KARI REBEKAH CEDILLO
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414
1871832287 — EDWARD ROBERT TEARE APRN-BC
Practice Location Address:
1144 65TH ST STE F
OAKLAND, CA
94608-1053
Practice Phone: 510-929-1400
Practice Fax: 510-929-1414

Directions to “ JACQUELINE COPELAND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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