Provider Demographics
NPI:1942770029
Name:COPELAND, EMILY GENA (MSN, RN, CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:GENA
Last Name:COPELAND
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
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Mailing Address - Street 1:5012 LOS ALAMITOS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2831
Mailing Address - Country:US
Mailing Address - Phone:501-247-7187
Mailing Address - Fax:
Practice Address - Street 1:5113 WAYLAND DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5520
Practice Address - Country:US
Practice Address - Phone:432-332-2080
Practice Address - Fax:866-298-7237
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP139683363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics