Provider Demographics
NPI:1215333950
Name:COPE, DONALD AUSTIN (RN)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:AUSTIN
Last Name:COPE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1153
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-1153
Mailing Address - Country:US
Mailing Address - Phone:828-243-0361
Mailing Address - Fax:
Practice Address - Street 1:647 NED MCGIMSEY ROAD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761
Practice Address - Country:US
Practice Address - Phone:828-243-0361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC269916163W00000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No163W00000XNursing Service ProvidersRegistered Nurse