| NPI | 1679440101 |
|---|---|
| Former Name | SIMONE ANN COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0040549) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |