# NORTH CHILDREN'S CLINIC AND FAMILY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386968444
- **Authorized official:** LEEANNA F COPELAND CPNP (OWNER/PROVIDER)
- **Authorized official phone:** (615) 826-8087

## Contact information

- **Practice address:** 130 IMPERIAL BLVD, HENDERSONVILLE, TN 37075-3440
- **Practice address phone:** (615) 826-8087
- **Practice address fax:** (615) 826-8069
- **Mailing address:** 130 IMPERIAL BLVD, HENDERSONVILLE, TN 37075-3440
- **Mailing address phone:** (615) 826-8087
- **Mailing address fax:** (615) 826-8069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | PA1540 | TN | — |
| 363LP0200X | Pediatric Nurse Practitioner | APN8129 | TN | Yes |

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 03/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5441217 | — | TN |