Individual provider · Type 1 NPI

Jerald Glenn Coopersmith, ARNP

Family Nurse Practitioner · St. Augustine, FL

NPI number 1902821044 Active

Practice location

1955 US Highway 1 S, 200
St. Augustine, FL 32086-3708

Mailing address

51 Renworth Ln
Palm Coast, FL 32164-6627

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9218067 (FL)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1902821044

Jerald Glenn Coopersmith, ARNP's National Provider Identifier is 1902821044, issued on Jul 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.