Jessica Copenhaver, APRN
Nurse Practitioner, Family in Clearwater, FL. Individual provider (NPI-1).
NPI number1336809672
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1336809672
- Entity type
- Individual (NPI-1)
- Name
- Jessica Copenhaver
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11017144 | FL | Yes |
Practice location
14252 Puffin CtClearwater, FL 33762-3044
Phone 727-735-8430
Mailing address
14252 Puffin CtClearwater, FL 33762-3044
Phone 727-735-8430
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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