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Contact Information

JESSIE L COPELAND JR, MD
110 DOCTORS DR
CELINA, TN38551
 Phone: 931-243-3860
 Fax: 931-243-4607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207RA0000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESSIE L COPELAND JR · (Male)

NPI Number 1164412474
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 09/19/2019 - About 7 years ago
Sole proprietor 1 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(s)
  • CLINTON COUNTY HOSPITAL INC - (Acute Care)
    723 BURKESVILLE ROAD
    ALBANY, KY 42602
  • CLINTON COUNTY HOSPITAL INC - (Acute Care)
    723 BURKESVILLE ROAD
    ALBANY, KY 42602
  • COOKEVILLE REGIONAL MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER BOULEVARD
    COOKEVILLE, TN 38501
  • COOKEVILLE REGIONAL MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER BOULEVARD
    COOKEVILLE, TN 38501
  • LIVINGSTON REGIONAL HOSPITAL - (Acute Care)
    315 OAK ST BOX 550
    LIVINGSTON, TN 38570
  • LIVINGSTON REGIONAL HOSPITAL - (Acute Care)
    315 OAK ST BOX 550
    LIVINGSTON, TN 38570
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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