Healthcare Provider Details

I. General information

NPI: 1033350384
Provider Name (Legal Business Name): LINDA LEE POPE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 23RD AVE. NORTH
NASHVILLE TN
37203-3302
US

IV. Provider business mailing address

311 23RD AVE N
NASHVILLE TN
37203-1503
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-7781
  • Fax: 615-340-7792
Mailing address:
  • Phone: 615-340-7781
  • Fax: 615-340-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000039306
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: