Healthcare Provider Details

I. General information

NPI: 1548206394
Provider Name (Legal Business Name): DEBORA JOAN ANGEL-POMPI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 CLEVELAND AVE
PIKEVILLE TN
37367-5305
US

IV. Provider business mailing address

PO BOX 344
PIKEVILLE TN
37367-0344
US

V. Phone/Fax

Practice location:
  • Phone: 423-447-3060
  • Fax: 833-450-6132
Mailing address:
  • Phone: 423-447-3060
  • Fax: 833-450-6132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number66153
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5940
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: