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General NPI Number Information
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NPI Number | 1396209805
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Entity Type | Individual
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Provider Name | JAY ROBERT POPE F.N.P.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1893 S HIGHLAND AVE
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City | JACKSON
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State | TN
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Zip | 38301-7799
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Country | US
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Telephone | 731-422-0213
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Fax | 731-256-5593
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | JACKSON
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State | TN
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Zip | 38302-0400
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Country | US
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Telephone | 731-423-8697
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Fax | 731-423-2073
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 25428
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25428
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License Number State | TN
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