IndividualActive
Kelly Coppola
NPI 1215747308 · Addiction (Substance Use Disorder) Registered Nurse · South Amboy, NJ
Provider details
- NPI number
- 1215747308
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NR13540100 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone: (732) 720-1000
Approximate (ZIP-level) locationGet directions
Mailing address
255 Clubhouse Dr
Middletown, NJ 07748-1324
Registry dates
- Enumerated
- 2025-01-10
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.