Copeland, Kristen

Copeland, Kristen is an individual health care provider with primary practice located at 631 Professional Dr Ste 450 , Lawrenceville GA 30046-3370. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Copeland, Kristen can be contacted via phone (770) 963-8030.

Contact Information

Primary practice address
631 Professional Dr Ste 450 Lawrenceville GA 30046-3370
Phone: (770) 963-8030
Fax: (770) 339-9577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN230567 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN230567 Georgia

Profile Details

NPI number 1114443967
LBN Legal business name Copeland, Kristen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2017
Last updated Nov 19th, 2019 - about 5 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 1114443967 NPPES
Georgia Other RN230567 LICENSE

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