Individual
KEESHA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, A-GNP-C
Contact information
Practice address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
(903) 513-6931
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1107101
TX
Other
Enumeration date
01/25/2023
Last updated
04/02/2026
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