Individual
KRISTEN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Mailing address
1700 TREE LN STE 490, SNELLVILLE, GA 30078-6756
(770) 979-2828
(770) 979-3139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN230567
GA
363LP2300X
Primary Care Nurse Practitioner
RN230567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN230567
LICENSE
GA
Enumeration date
08/14/2017
Last updated
11/19/2019
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