Individual
MRS. CAROL LYNN COPELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP-BC
Contact information
Practice address
2802 W WALKER ST, BRECKENRIDGE, TX 76424
(254) 559-7215
(325) 893-4035
Mailing address
725 PATE ST, ALBANY, TX 76430-3225
(257) 622-4473
(325) 893-4035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP117604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114101
—
TX
Enumeration date
07/27/2008
Last updated
05/24/2021
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