Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSIE LEE COPELAND JR., M.D.
Active Sole ProprietorAllergy & Immunology · CELINA, TN
Registration Details
- NPI Number
- 1164412474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.485695989224 yrs)
- Last Updated
- Sep 19, 2019
- Licenses
-
MD30843 (TN)30843 (TN)MD30843 (TN)30843 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 DOCTORS DRCELINA, TN, 38551Browse TN providers · Browse ZIP 38551
- Phone
- 9312433860
- Fax
- 9312434607
- Primary Specialty
-
Allergy & Immunology
207RA0000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hospitalist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.