Provider Demographics
NPI:1558163196
Name:COPELAND, SHARON R
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:R
Last Name:COPELAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 E 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2731
Mailing Address - Country:US
Mailing Address - Phone:220-228-8613
Mailing Address - Fax:614-826-8145
Practice Address - Street 1:995 E 13TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2731
Practice Address - Country:US
Practice Address - Phone:220-228-8613
Practice Address - Fax:614-826-8145
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker