Healthcare Provider Details

I. General information

NPI: 1619583283
Provider Name (Legal Business Name): MICHELLE LYNN POPE MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2020
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 ARLINGTON BLVD STE 420
FAIRFAX VA
22031-5216
US

IV. Provider business mailing address

731 SEATON AVE UNIT 120
ALEXANDRIA VA
22305-3052
US

V. Phone/Fax

Practice location:
  • Phone: 703-520-9703
  • Fax: 703-502-9702
Mailing address:
  • Phone: 443-975-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0024180128
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: