Provider Demographics
NPI:1093950388
Name:COPLIN, MONICA DENISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:DENISE
Last Name:COPLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2673
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71294-2673
Mailing Address - Country:US
Mailing Address - Phone:318-322-9252
Mailing Address - Fax:318-322-2885
Practice Address - Street 1:3101 CYPRESS ST
Practice Address - Street 2:SUITE 9
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5286
Practice Address - Country:US
Practice Address - Phone:318-322-9252
Practice Address - Fax:318-322-2885
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily