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Contact Information

PENNY M POPE, FNP-BC
172 WEST INDEPENDENCE BLVD
MOUNT AIRY, NC27030
 Phone: 336-415-5853
 Fax: 336-415-5854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PENNY M POPE · (Female)

NPI # 1497187629
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/30/2013
Last updated 10/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 5006312
  • NC Medicaid 1124486832
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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