Individual
KRISTINA M COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
9331COLLINSVILLE LAKE DR, COLLINSVILLE, MS 39325
(601) 626-8077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R853576
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935151
—
AL
05
—
08833291
—
MS
Enumeration date
08/11/2006
Last updated
07/08/2007
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