Individual
JONATHAN COPPENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1130 MIDDLE CREEK RD STE 270, SEVIERVILLE, TN 37862-3052
(865) 365-3074
Mailing address
1130 MIDDLE CREEK RD STE 270, SEVIERVILLE, TN 37862-3052
(865) 365-3074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24356
TN
Other
Enumeration date
06/29/2018
Last updated
05/12/2023
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