Individual
NOELLE R. COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
21 STONEGATE DR, CHARLESTON, IL 61920-7884
(217) 258-2525
Mailing address
21 STONEGATE DR, CHARLESTON, IL 61920-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-002270
IL
Other
Enumeration date
08/21/2006
Last updated
08/23/2024
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