| NPI | 1518648344 |
|---|---|
| Former Name | JOELEEN MARIE COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10034643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201404126RN) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-10-29 |