Healthcare Provider Details

I. General information

NPI: 1083057673
Provider Name (Legal Business Name): PAMELA ELLEN COPHER APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 ALEXA DR
MT STERLING KY
40353-1000
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-398-2100
  • Fax: 859-398-2106
Mailing address:
  • Phone: 606-330-7835
  • Fax: 859-298-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3007953
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: