Provider Demographics
NPI:1386528313
Name:COPELAND, NEVANN
Entity type:Individual
Prefix:
First Name:NEVANN
Middle Name:
Last Name:COPELAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 S 12TH ST APT D1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2821
Mailing Address - Country:US
Mailing Address - Phone:402-297-5712
Mailing Address - Fax:
Practice Address - Street 1:4535 NORMAL BLVD STE 295
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2890
Practice Address - Country:US
Practice Address - Phone:531-207-3545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant