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NPI Code Detail

MEDICARE: MR. JEFFREY SCOTT COPELAND MSN ARNP

MEDICARE: MR. JEFFREY SCOTT COPELAND MSN ARNP
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist74651KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811905078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY SCOTT COPELAND MSN ARNP
Provider Business Mailing Address
First Line : 500 LIMIT ST
Second Line :
City : LEAVENWORTH
State : KS
Zip : 66048-4435
Country : US
Telephone Number : 913-682-5118
Fax Number : 913-682-4664
Provider Business Practice Location Address
First Line : 500 LIMIT ST
Second Line :
City : LEAVENWORTH
State : KS
Zip : 66048-4435
Country : US
Telephone Number : 913-682-5118
Fax Number : 913-682-4664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 03/22/2016

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