Provider Demographics
NPI:1649956731
Name:COPELAND, TERESA LYNN (FNP-BC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:LYNN
Last Name:COPELAND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:LYNN
Other - Last Name:PARDEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1433 N ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2102
Mailing Address - Country:US
Mailing Address - Phone:559-391-3100
Mailing Address - Fax:
Practice Address - Street 1:1433 N ACACIA AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2102
Practice Address - Country:US
Practice Address - Phone:559-391-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily