KRISTEN COPELAND NP NPI 1114443967

NPI Information

NPI: 1114443967
Provider Name: KRISTEN COPELAND, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-8030
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Kristen Copeland, NP is an adult health nurse practitioner in Lawrenceville, GA with 7 years of experience. Kristen Copeland, NP NPI is 1114443967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA
ZIP 30046-370
Phone: (770) 963-8030
Fax: (770) 339-9577

The NPI 1114443967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2017 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	RN230567	GEORGIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	RN230567	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN230567	OTHER	GEORGIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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