Individual
JENNIFER MARIE COPENHEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
24912 KNOLLWOOD DR, PASS CHRISTIAN, MS 39571-5504
(360) 649-7343
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
229244
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
229244
LA
363LC0200X
Critical Care Medicine Nurse Practitioner
229244
LA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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