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NPI Code Detail

MEDICARE: MS. TYCIA DEBRIELLE POPE CNP

MEDICARE: MS. TYCIA DEBRIELLE POPE CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-NP234527GA

General Provider Information

NPI Number : 1568166460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TYCIA DEBRIELLE POPE CNP
Provider Business Mailing Address
First Line : 1000 JOHNSON FERRY RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1606
Country : US
Telephone Number : 404-851-8917
Fax Number : 404-303-3636
Provider Business Practice Location Address
First Line : 232 19TH ST NW STE 7220
Second Line :
City : ATLANTA
State : GA
Zip : 30363-1131
Country : US
Telephone Number : 404-367-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 12/10/2025

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