Individual
TAMMY ELLEN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
298 TRICORN RD, DANVILLE, WV 25053-7148
(304) 369-1385
(304) 369-9684
Mailing address
32 BETH HAVEN RD, CHAUNCEY, WV 25612-9504
(304) 688-3572
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
66370
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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