MR. Jerald Glenn Coopersmith, ARNP
NPI #1902821044 in St Augustine, Florida
Provider Information
- NPI Number
- 1902821044
- Entity Type
- Individual
- Name
- MR. Jerald Glenn Coopersmith, ARNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- ARNP
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1955 US HIGHWAY 1 S
- Address 2
- 200
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-3708
- Phone
- (904) 829-8956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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