Mindy Copeland

Individual provider Active NPI Registered Nurse · Spencer, TN

NPI 1205264397 · NPPES record last updated Oct 29, 2013

Key facts

NPI
1205264397
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN0000165936 (TN)
Practice address
907 Old McMinnville St
Spencer, TN 38585-3200
Phone
(931) 946-2438
Fax
(931) 946-7106
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN0000165936TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000165936 TN Yes

Addresses

Primary practice location

907 Old McMinnville St
Spencer, TN 38585-3200

Mailing address

907 Old McMinnville St
Spencer, TN 38585-3200
Phone (931) 946-2438

Other providers in Spencer, TN

All providers in Spencer, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.