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Mrs. Shelly R Coppock, CPNP
Pediatric Nurse Practitioner in Falls Church, Virginia
NPI 1881249431

Shelly R Coppock is a Pediatric Nurse Practitioner based in Woodbridge, VA and is specialized in Pediatrics. Shelly R Coppock practices in Falls Church, VA and has the professional credentials of CPNP. The NPI Number for Shelly R Coppock is 1881249431 and holds a License No. 0024177977 (Virginia).

The current practice location address for Shelly R Coppock is 3300 Gallows Rd, Falls Church, VA and can be reached out via phone at 703-776-4001.

Location: 3300 Gallows Rd, Falls Church, VA, 22192-3829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881249431
Provider Name
Shelly R Coppock
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
3300 Gallows Rd, Falls Church, VA, 22192-3829
Phone Number
703-776-4001
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024177977 01 VA NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
703-776-4001
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
703-776-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
0024177977 (Virginia)
Definition
Definition to come...
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