NPI 1164941118

Tanisha Copeland

Practitioner Nurse's Aide Kankakee, IL

Practice location

Address: 1472 S 3rd Ave, Kankakee, IL 60901-4915
Phone: (815) 386-4940

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1164941118
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2017
Record last updated: 11 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.