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Individual

JENNIFER COPTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8655 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 560-2847
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3272

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN62655
NV
363L00000X
Nurse Practitioner
Primary
APRN001981
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629453394
NV
Enumeration date
07/23/2015
Last updated
08/25/2015
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