Individual
JARED COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
510 BIRDIE CT, MAIDSVILLE, WV 26541-8189
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120952
WV
Other
Enumeration date
09/11/2023
Last updated
10/08/2024
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