Jessie Lee Copeland in Celina - Adolescent Medicine
Jessie Lee Copeland - NPI 1164412474
Jessie Lee Copeland is a Adolescent Medicine in Celina, Tennessee. Jessie Lee Copeland practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jessie Lee Copeland is 1164412474. The last update date is 2019-09-19.
Jessie Lee Copeland's current location address is Po Box 388, Celina, Tennessee. You can contact this provider via phone number 9312433860 and fax number 9312434607. The mailing address for Jessie Lee Copeland is Po Box 388, Celina, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Lee Copeland |
|---|---|
| Address | Po Box 388, Celina, Tennessee |
| Phone Number | 9312433860 |
| Fax Number | 9312434607 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164412474 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2019-09-19 |
Provider Mailing Address Detail
| Address | Po Box 388 |
|---|---|
| City | Celina |
| State | Tennessee (TN) |
| Post Code | 385510388 |
| Phone Number | 9312433860 |
| Fax Number | 9312434607 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | MD30843 |
|
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3726598 | TN | -- | |
| 1510372 | TN | -- | |
| 3837472 | TN | -- | |
| P00162052 | TN | RAILROAD MEDICARE | |
| 141913142 | TN | TAX ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessie Lee Copeland?
The Jessie Lee Copeland has been issued the NPI (National Provider Identifier) 1164412474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jessie Lee Copeland is physically located?
The Jessie Lee Copeland is situated at the following address: Po Box 388, Celina, TN 385510388.
What is the Jessie Lee Copeland's specialty and taxonomy code?
The Jessie Lee Copeland's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Ra0000X.
When was the Jessie Lee Copeland's 1164412474 issued?
The Jessie Lee Copeland's 1164412474 was issued on 2005-10-27.
As of what date were the details pertaining to Jessie Lee Copeland last refreshed?
The information related to the Jessie Lee Copeland, including its address, specialty, and other relevant details, was last updated on 2019-09-19.
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