Copeland, Jessie Lee

Copeland, Jessie Lee is an sole proprietor health care provider with primary practice located at 110 Doctors Dr , Celina TN 38551. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Copeland, Jessie Lee can be contacted via phone (931) 243-3860.

Contact Information

Primary practice address
110 Doctors Dr Celina TN 38551
Phone: (931) 243-3860
Fax: (931) 243-4607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X MD30843 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30843 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD30843 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 30843 Tennessee

Profile Details

NPI number 1164412474
LBN Legal business name Copeland, Jessie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Sep 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164412474 NPPES
Tennessee MEDICAID 3726598
Tennessee MEDICAID 1510372
Tennessee MEDICAID 3837472
Tennessee Other P00162052
Tennessee Other 141913142

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