MEDICARE: DR. DEBRA CATHLEEN POPLAR APN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2020127987	TN

General Provider Information

NPI Number	:	1619385788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA CATHLEEN POPLAR APN

Provider Business Mailing Address
First Line	:	2000 MALLORY LN STE 290
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6287
Country	:	US
Telephone Number	:	615-927-9285
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 ELLINGTON DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5009
Country	:	US
Telephone Number	:	615-927-9285
Fax Number	:	615-623-8638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2014
Last Update Date	:	06/13/2024

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