Copley, Tracy Renee

Copley, Tracy Renee is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Copley, Tracy Renee can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (855) 446-5937
Fax: (740) 441-3396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN83514-PMHNP-BC West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4023021 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.021213 Ohio

Profile Details

NPI number 1114451143
LBN Legal business name Copley, Tracy Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Jul 2nd, 2024 - about 2 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 1114451143 NPPES
Ohio MEDICAID 0086664

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