Individual provider · Type 1 NPI

Tamara Copeland

Family Nurse Practitioner · Mount Vernon, IL

NPI number 1295192805 Active

Practice location

2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864-2478

Call (618) 899-4000 Map

Mailing address

PO Box 955860
St. Louis, MO 63195-2478

Other practice locations

  • 420 N Pleasant Ave, Centralia, IL 62801-3006 · (618) 436-7536

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1295192805 (IL)
Family Nurse Practitioner Primary 363LF0000X209.013446 (IL)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Mount Vernon

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About NPI 1295192805

Tamara Copeland's National Provider Identifier is 1295192805, issued on Jan 27, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, IL. The record was last updated on Oct 22, 2020.