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1336809672
JESSICA COPENHAVER
CLEARWATER, FL
NPI
1336809672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11017144)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
JESSICA COPENHAVER APRN
14252 PUFFIN CT
CLEARWATER, FL 33762-3044
Phone number: 727-735-8430
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Mailing Address
JESSICA COPENHAVER APRN
14252 PUFFIN CT
CLEARWATER, FL 33762-3044
Phone number: 727-735-8430
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