Provider Demographics
NPI:1013154285
Name:COPELAND, GEORGE NICHOLSON (ARNP NP-C)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:NICHOLSON
Last Name:COPELAND
Suffix:
Gender:M
Credentials:ARNP NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4903
Mailing Address - Country:US
Mailing Address - Phone:561-582-9683
Mailing Address - Fax:561-582-9683
Practice Address - Street 1:319 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4903
Practice Address - Country:US
Practice Address - Phone:561-582-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2114312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily