| NPI | 1114445897 |
|---|---|
| Former Name | JESSICA L COPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175078) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024175078) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2019-11-14 |