Individual
JENNA P COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
HWY 491 NORTH, P.O. BOX 160, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
HWY 491 NORTH, P.O. BOX 160, SHIPROCK, NM 87420
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-1148
NM
133VN1004X
Pediatric Nutrition Registered Dietitian
LD-1148
NM
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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