Healthcare Provider Details

I. General information

NPI: 1285558148
Provider Name (Legal Business Name): RACHEL DAWN COPELAND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SCHOOL DR
WICKES AR
71973-9312
US

IV. Provider business mailing address

3837 HIGHWAY 26 W
NASHVILLE AR
71852-7426
US

V. Phone/Fax

Practice location:
  • Phone: 870-385-3415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR056271
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: