Copeland, Tamara

Copeland, Tamara is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 420 , Mount Vernon IL 62864-2478. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Copeland, Tamara can be contacted via phone (618) 899-4000.

Contact Information

Primary practice address
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478
Phone: (618) 899-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1295192805 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.013446 Illinois

Profile Details

NPI number 1295192805
LBN Legal business name Copeland, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2016
Last updated Oct 22nd, 2020 - about 6 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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