Individual
JENNIFER M. COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
603 28 1/4 RD, GRAND JUNCTION, CO 81506-6019
(970) 263-2600
(970) 263-2692
Mailing address
603 28 1/4 RD, GRAND JUNCTION, CO 81506-6019
(970) 263-2600
(970) 263-2692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39611
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
39611
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000501
MEDICARE LAB GRP
KY
01
—
CB5773
RR MEDICARE GRP
GA
01
—
P00379401
RR MEDICARE PIN
GA
Enumeration date
07/17/2006
Last updated
08/26/2013
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