Individual
OLIVIA COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 SHADY LN, JOHNSON CITY, TN 37601-3071
(423) 737-4182
Mailing address
361 SHADY LN, JOHNSON CITY, TN 37601-3071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
268579
TN
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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