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Organization
NORTH CHILDREN'S CLINIC AND FAMILY CARE, PLLC
Active
Organization
NORTH CHILDREN'S CLINIC AND FAMILY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANNA F COPELAND CPNP (OWNER/PROVIDER)
(615) 826-8087
Entity
Organization
Contact information
Practice address
130 IMPERIAL BLVD, HENDERSONVILLE, TN 37075-3440
(615) 826-8087
(615) 826-8069
Mailing address
130 IMPERIAL BLVD, HENDERSONVILLE, TN 37075-3440
(615) 826-8087
(615) 826-8069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1540
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
APN8129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441217
—
TN
Enumeration date
03/18/2010
Last updated
03/18/2010
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