Individual
JENNIE KAY COPPINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 MEDIC LN STE B, ALVIN, TX 77511-5894
(281) 331-2062
Mailing address
177 SMITH HOLLOW RD, MCMINNVILLE, TN 37110-3807
(931) 743-0920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16353
TX
363A00000X
Physician Assistant
Primary
PA64790
CA
363A00000X
Physician Assistant
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Other
Enumeration date
09/21/2022
Last updated
03/11/2025
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