Provider Demographics
NPI:1194130336
Name:COPLEY, VALLIE JO (APRN PMHNP)
Entity type:Individual
Prefix:
First Name:VALLIE
Middle Name:JO
Last Name:COPLEY
Suffix:
Gender:F
Credentials:APRN PMHNP
Other - Prefix:
Other - First Name:VALLIE
Other - Middle Name:JO
Other - Last Name:CLARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2911 ADAMS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1023
Mailing Address - Country:US
Mailing Address - Phone:405-310-3735
Mailing Address - Fax:
Practice Address - Street 1:2911 ADAMS RD STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1023
Practice Address - Country:US
Practice Address - Phone:405-310-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK209768363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty