Copeland, Stephanie L

Copeland, Stephanie L is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Copeland, Stephanie L can be contacted via phone (523) 592-9957.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (523) 592-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 814592 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11018 Tennessee

Profile Details

NPI number 1255327292
LBN Legal business name Copeland, Stephanie L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255327292 NPPES
Tennessee MEDICAID 3631982

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