Copeland, Jessica Danielle

Copeland, Jessica Danielle is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Copeland, Jessica Danielle can be contacted via phone (813) 870-4619.

Contact Information

Primary practice address
3001 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6307
Phone: (813) 870-4619
Fax: (813) 554-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X APRN11001977 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11001977 Florida

Profile Details

NPI number 1033708367
LBN Legal business name Copeland, Jessica Danielle
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2021
Last updated Mar 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033708367 NPPES
Florida MEDICAID 110112000

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