Individual
MRS. JESSIE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
NRHN REHAB PHYSICIAN SERVICES, 70 BUTLER STREET, SALEM, NH 03079
(603) 501-5547
(603) 501-5650
Mailing address
NRHN REHAB PHYSICIAN SERVICES, 105 CORPORATE DRIVE, PORTSMOUTH, NH 03801
(603) 501-5547
(603) 501-5650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0808
NH
363A00000X
Physician Assistant
PA001250
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075575
—
NH
Enumeration date
10/21/2010
Last updated
03/02/2020
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