Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jean Coppernoll, PCPRC

Individual provider Peer Specialist · NPI 1912874181

Jean Coppernoll, PCPRC is a Peer Specialist in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

226 Martin St
Twin Falls, ID 83301-4542
Phone: (208) 543-7230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 13189 (ID)

Record details

NPI number1912874181
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCPRC
Sole proprietorNo
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address18600 Se McLoughlin Blvd, Milwaukie, OR 97267-6723

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