Individual
JACQUELINE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 457-4252
Mailing address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 457-4252
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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