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NPI Code Detail

MEDICARE: JENNIFER M. COPELAND M.D.

MEDICARE: JENNIFER M. COPELAND M.D.
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
1207Q00000XFamily Medicine Physician39611KY
2207QS0010XSports Medicine (Family Medicine) Physician39611KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CB5773OTHERGARR MEDICARE GRP
24000501OTHERKYMEDICARE LAB GRP
3P00379401OTHERGARR MEDICARE PIN

General Provider Information

NPI Number : 1679591051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M. COPELAND M.D.
Provider Business Mailing Address
First Line : 603 28 1/4 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-6019
Country : US
Telephone Number : 970-263-2600
Fax Number : 970-263-2692
Provider Business Practice Location Address
First Line : 603 28 1/4 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-6019
Country : US
Telephone Number : 970-263-2600
Fax Number : 970-263-2692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 08/26/2013

Similar Medicare Providers

1407697105 — MACKENZIE BLACKWELL PMHNP-BC
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2600
Practice Fax: 970-263-2692
1942252275 — RICHARD GREGORY DOYLE M.D.
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2600
Practice Fax: 970-263-2692
1417068958 — JANET L MOORE MD
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2670
Practice Fax: 970-263-2686
1114011863 — JAN LEAH LAMB D.O.
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2670
Practice Fax: 970-263-2686
1558436618 — MS. ARIANNA M ANDERSEN FNP
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2600
Practice Fax:
1528185972 — DR. DAVID W. TERRY D.O.
Practice Location Address:
603 28 1/4 RD
GRAND JUNCTION, CO
81506-6019
Practice Phone: 970-263-2600
Practice Fax: 970-263-2692

Directions to “ JENNIFER M. COPELAND M.D.” Practice Location

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