Provider Demographics
NPI:1023809803
Name:COPELAND, BROOKE LANGHORNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:LANGHORNE
Last Name:COPELAND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7083 RIVERMERE LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-8081
Mailing Address - Country:US
Mailing Address - Phone:804-517-6741
Mailing Address - Fax:
Practice Address - Street 1:7083 RIVERMERE LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-8081
Practice Address - Country:US
Practice Address - Phone:804-517-6741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2024059739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily