| Tammy M Copeland, CRNA | |
|
1400 Braden St, Jacksonville, AR 72076-3721 | |
| (501) 985-7000 | |
| Not Available |
| Full Name | Tammy M Copeland |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1400 Braden St, Jacksonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487870283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R27750 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C00862 (Arkansas) | Primary |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Arkansas Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
| Entity Name | Southern Regional Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231673 PECOS PAC ID: 2961633870 Enrollment ID: O20140318000757 |
| Entity Name | Integrated Anesthesia Services, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194736108 PECOS PAC ID: 0244335255 Enrollment ID: O20171025000334 |
| Entity Name | Nlr Gi Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518536234 PECOS PAC ID: 6002210846 Enrollment ID: O20210802001671 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy M Copeland, CRNA 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: () - | Tammy M Copeland, CRNA 1400 Braden St, Jacksonville, AR 72076-3721 Ph: (501) 985-7000 |