Provider Demographics
NPI:1346802857
Name:COPELAND, FELECIA MACKLIN (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:FELECIA
Middle Name:MACKLIN
Last Name:COPELAND
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12706 HOGANS ALY
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2696
Mailing Address - Country:US
Mailing Address - Phone:804-495-5826
Mailing Address - Fax:
Practice Address - Street 1:11601 IRON BRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1468
Practice Address - Country:US
Practice Address - Phone:804-495-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2019-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily