Coppock, Shelly R
Coppock, Shelly R is an sole proprietor health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Coppock, Shelly R can be contacted via phone (703) 776-4001.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 776-4001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024177977 | Virginia |
Profile Details
| NPI number | 1881249431 |
|---|---|
| LBN Legal business name | Coppock, Shelly R |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2019 |
| Last updated | Aug 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881249431 | NPPES |
| Virginia | Other | 0024177977 | NURSE PRACTITIONER |
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