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Individual

JENNIFER L. COPARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102204183
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-028
TRICARE/CHAMPUS
VA
01
1053679977
OPTIMA HEALTH
VA
05
1053679977
NC
05
1053679977
VA
Enumeration date
04/28/2012
Last updated
02/01/2016
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