Coppedge, Jennifer

Coppedge, Jennifer is an sole proprietor health care provider with primary practice located at 4158 W Us Highway 90 Ste 101 , Lake City FL 32055-4883. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Coppedge, Jennifer can be contacted via phone (352) 284-6057.

Contact Information

Primary practice address
4158 W Us Highway 90 Ste 101 Lake City FL 32055-4883
Phone: (352) 284-6057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1003336512
LBN Legal business name Coppedge, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2017
Last updated Jun 26th, 2017 - about 7 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.

Request for update

Popular Providers