Jerald Glenn Coopersmith in St Augustine - Family
Jerald Glenn Coopersmith - NPI 1902821044
Jerald Glenn Coopersmith is a Family in St Augustine, Florida. Jerald Glenn Coopersmith practices all healthcare services and medical treatments related to Family. The NPI Number for Jerald Glenn Coopersmith is 1902821044. The last update date is 2007-07-08.
Jerald Glenn Coopersmith's current location address is 1955 Us Highway 1 S, St Augustine, Florida. You can contact this provider via phone number 9048298956. The mailing address for Jerald Glenn Coopersmith is 1955 Us Highway 1 S, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerald Glenn Coopersmith |
|---|---|
| Address | 1955 Us Highway 1 S, St Augustine, Florida |
| Phone Number | 9048298956 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1902821044 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1955 Us Highway 1 S |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320863708 |
| Phone Number | 9048298956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP9218067 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerald Glenn Coopersmith?
The Jerald Glenn Coopersmith has been issued the NPI (National Provider Identifier) 1902821044 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jerald Glenn Coopersmith located?
The Jerald Glenn Coopersmith is located at 1955 Us Highway 1 S, St Augustine, FL 320863708.
What is Jerald Glenn Coopersmith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerald Glenn Coopersmith's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902821044 to Jerald Glenn Coopersmith?
The Centers for Medicare & Medicaid Services originally issued the 1902821044 to Jerald Glenn Coopersmith on 2006-07-12.
As of what date were the details related to Jerald Glenn Coopersmith most recently updated or revised?
The information pertaining to Jerald Glenn Coopersmith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1851396006
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