Mia J Copeland-Brock, APRN
Nurse Practitioner, Psych/Mental Health in Medway, Massachusetts
1174246128- Practice location
- 165 Main St, Medway, MA 02053-1584
- Phone
- 508-321-3210
- Fax
- 508-321-3210
- Last updated
- June 17, 2025
Mia Jasmine Copeland-Brock is a Nurse Practitioner, Psych/Mental Health based in Medway, MA. Mia Jasmine Copeland-Brock practices in Medway, MA and has the professional credentials of APRN. The NPI Number for Mia Jasmine Copeland-Brock is 1174246128 and holds a License No. RN2313693 (MA). The current practice location address for Mia Jasmine Copeland-Brock is 165 Main St, Medway, MA 02053-1584 and can be reached out via phone at 508-321-3210 and via fax at 508-321-3210.
Provider Profile Details
- NPI Number
- 1174246128
- Provider Name
- Mia Jasmine Copeland-Brock
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 165 Main St, Medway, MA 02053-1584
- Phone Number
- 508-321-3210
- Fax Number
- 508-321-3210
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2022
- Last Update Date
- June 17, 2025
- Certification Date
- June 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Main St
Medway, MA 02053-1584 - City
- Medway
- State
- Massachusetts
- Zip
- 02053-1584
- Phone Number
- 508-321-3210
- Fax Number
- 508-321-3210
Provider Business Mailing Address Details
- Address
- 417 Liberty St
Springfield, MA 01104-3736 - City
- Springfield
- State
- MA
- Zip
- 01104-3736
- Phone Number
- 413-246-9675
License Information
- License Number (1)
- RN2313693
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- RN2313693
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mia J Copeland-Brock, APRN?
The NPI number of Mia J Copeland-Brock, APRN is 1174246128. It was assigned on September 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Mia J Copeland-Brock, APRN?
Mia J Copeland-Brock, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2313693.
Where does Mia J Copeland-Brock, APRN practice?
The practice location is 165 Main St, Medway, MA 02053-1584. The office can be reached at 508-321-3210 (phone) or 508-321-3210 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174246128 directly on the NPPES registry website.