National Provider Identifier Database

JESSIE L COPELAND JR, MD – NPI #1164412474
Adolescent Medicine

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JESSIE L COPELAND JR, MD
110 DOCTORS DR
CELINA, TN38551
Phone: 931-243-3860
Fax: 931-243-4607
Website:
Specialty Taxonomy Code
* Adolescent Medicine 207RA0000X
Emergency Medicine 207P00000X
Hospitalist 208M00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for JESSIE L COPELAND JR

NPI Number 1164412474
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 09/19/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 30843
  • TN License #: MD30843
  • TN Medicaid: 1510372
  • TN Medicaid: 3726598
  • TN Medicaid: 3837472
  • TN Other: P00162052 RAILROAD MEDICARE
  • TN Other: 141913142 TAX ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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