MRS. CANDICE LEIGH COPELAND


Address: 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Phone: 5737272640

MRS. CANDICE LEIGH COPELAND (NPI# 1548562531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548562531
Entity Type Individual
Full Name MRS. CANDICE LEIGH COPELAND
Other Name MS. CANDICE L ADAMS
Credential NP
Practice Address 2620 N Westwood Blvd
Poplar Bluff
MO 63901-3396
Mailing Address Po Box 708760
Sandy
UT 84070-8760
Practice Telephone 5737272640
Practice Fax Number 5737272408
Mailing Telephone 8013529500
Mailing Fax Number 8013527976
Enumeration Date 2010-11-23
Last Update Date 2019-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 2010038004 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
2010038004 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3100 Oak Grove Rd, Poplar Bluff, MO 639011573 5737857721

Other Providers CANDICE COPELAND

NPI Name Taxonomy Address Enumeration
1477102523 Candice Marie Copeland Behavior Technician 3335 M St, Merced, CA 95348-2714 2019-09-10

Office Location

Street Address 2620 N WESTWOOD BLVD
City POPLAR BLUFF
State MO
Zip Code 63901-3396

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972589968 Bijan Bastaninejad Emergency Medicine 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2005-12-21
1063944932 Michelle Heath Nurse Practitioner 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2017-03-30
1558605873 Rachel Jean Smith Nurse Practitioner 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2012-11-27
1770851743 Lisa Renee Carroll Nurse Anesthetist, Certified Registered 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2011-12-06
1053699975 Christopher Muiruri Kahuho Hospitalist 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2011-07-26
1811293756 Amy Michelle Pennington Nurse Practitioner 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2011-02-09
1841592524 Ozark Emergency Group LLC Physician Assistant 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2010-12-01
1699080143 Southeast Missouri Anesthesia Partners LLC Nurse Anesthetist, Certified Registered 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2010-08-09
1780903021 Charles Matthew Hollis Nurse Anesthetist, Certified Registered 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2010-05-26
1538482260 Barbara Mcmains Nurse Practitioner 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2010-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076701 Alternative Sleep Solution Dentist 2700 Kanell Blvd., Poplar Bluff, MO 63901 2020-09-04
1285271239 Front Door Wellness LLC Physical Therapist Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 2019-12-09
1104470368 Andrew Akindutire Dentist 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 2019-07-26
1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1801259387 Richard Justin Huber Technician, Other 3005 Warrior Ln, Poplar Bluff, MO 63901 2016-04-01
1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1760866867 Bio-medical Applications of Missouri, Inc. Clinic/Center 3050 Tucker Road, Poplar Bluff, MO 63901 2015-07-17
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
1700202488 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1602 W. Harper Street, Poplar Bluff, MO 63901 2014-03-05
1932521648 Essential Family Healthcare, LLC Clinic/Center 1369 North Westwood Blvd., Poplar Bluff, MO 63901 2014-01-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427364744 Jody Beth Spain Nurse Practitioner 2210 Barron Rd Ste 211, Poplar Bluff, MO 63901-1908 2010-08-24
1558971937 Tiffany Persons Nurse Practitioner 2400 Lucy Lee Pkwy Ste A, Poplar Bluff, MO 63901-2427 2020-07-31
1538788310 Wendy Lynn Weston Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2020-04-13
1043874803 Deirdre Stocks Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2019-04-26
1083181416 Elizabeth Ann L'heureux Nurse Practitioner 686 Lester St, Poplar Bluff, MO 63901-5025 2018-10-24
1174019798 Jessica L Miller Nurse Practitioner 225 Physicians Park Ste 203, Poplar Bluff, MO 63901-3921 2018-07-06
1932625266 Wendy Raney Nurse Practitioner 225 Physicians Park Ste 203, Poplar Bluff, MO 63901-3921 2017-08-18
1285157388 Jessica Lynn Libla Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2017-07-20
1548793011 Carrera Williams Nurse Practitioner 2340 Katy Ln, Poplar Bluff, MO 63901-2300 2017-04-11
1609309830 Saint Francis Medical Center Nurse Practitioner 225 Physicians Park Ste 400, Poplar Bluff, MO 63901-3923 2017-04-05
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Competitor

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City POPLAR BLUFF
Zip Code 63901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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