Madelyn Sue Coppock, FNP-BC
Nurse Practitioner, Family in Midlothian, VA. Individual provider (NPI-1).
NPI number1164069357
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1164069357
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Madelyn Sue Coppock
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2019
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024178430 | VA | Yes |
Practice location
3742 Winterfield RdMidlothian, VA 23113-9230
Phone 804-423-1511 · Fax 804-330-9205
Mailing address
3742 Winterfield RdMidlothian, VA 23113-9230
Phone 804-423-1511 · Fax 804-330-9205
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