Individual
CYNTHIA ANN COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
3010 WILLOWAY RD, JACKSON, MI 49201-9333
(517) 569-4027
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704194388MOD1900768
MI
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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