Individual
JACQUELINE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 65TH ST STE F, OAKLAND, CA 94608-1053
(510) 929-1400
(510) 929-1414
Mailing address
1144 65TH ST STE F, OAKLAND, CA 94608-1053
(510) 929-1400
(510) 929-1414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
17010
CA
363LF0000X
Family Nurse Practitioner
17010
CA
Other
Enumeration date
11/08/2007
Last updated
06/09/2023
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