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JEANNETTE AMAYA COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-6703
Mailing address
7219 N LITCHFIELD RD, LUKE AIR FORCE BASE, AZ 85309-1529
(623) 856-9801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
0110010276
VA

Other

Enumeration date
09/09/2014
Last updated
03/13/2025
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