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Contact Information

JESSICA M KOPACZ
7001 ROGERS AVE STE 501
FORT SMITH, AR72903-4073
 Phone: 479-573-3101
 Fax: 479-573-3102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JESSICA M KOPACZ · (Female)

NPI Number 1528786316
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2022
Last updated 02/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 221481
Hospital affiliation(s) Not Available
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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