Healthcare Provider Details

I. General information

NPI: 1548289101
Provider Name (Legal Business Name): JOAN COPELAND CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W EXCHANGE ST #225
AKRON OH
44302-1704
US

IV. Provider business mailing address

224 W EXCHANGE ST #225
AKRON OH
44302-1704
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4377
  • Fax: 330-761-2492
Mailing address:
  • Phone: 330-344-4377
  • Fax: 330-761-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNS 08583
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: