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Mr. Jerald Glenn Coopersmith, ARNP
Family Nurse Practitioner in St Augustine, Florida
NPI 1902821044

Jerald Glenn Coopersmith is a Family Nurse Practitioner based in Palm Coast, FL and is specialized in Family. Jerald Glenn Coopersmith practices in St Augustine, FL and has the professional credentials of ARNP. The NPI Number for Jerald Glenn Coopersmith is 1902821044 and holds a License No. ARNP9218067 (Florida).

The current practice location address for Jerald Glenn Coopersmith is 1955 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-829-8956.

Location: 1955 Us Highway 1 S, St Augustine, FL, 32164-6627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902821044
Provider Name
Jerald Glenn Coopersmith
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
1955 Us Highway 1 S, St Augustine, FL, 32164-6627
Phone Number
904-829-8956
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1955 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-3708
Phone Number
904-829-8956
Fax Number
person
Provider Business Mailing Address Details
Address
1955 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-3708
Phone Number
904-829-8956
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9218067 (Florida)
Definition
Definition to come...
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