Copeland-Brock, Mia Jasmine

Copeland-Brock, Mia Jasmine is an individual health care provider with primary practice located at 40 Bobala Rd , Holyoke MA 01040-9632. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Copeland-Brock, Mia Jasmine can be contacted via phone (413) 536-5473.

Contact Information

Primary practice address
40 Bobala Rd Holyoke MA 01040-9632
Phone: (413) 536-5473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2313693 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2313693 Massachusetts

Profile Details

NPI number 1174246128
LBN Legal business name Copeland-Brock, Mia Jasmine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2022
Last updated Dec 13th, 2022 - 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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