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General NPI Number Information
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NPI Number | 1821376724
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Entity Type | Individual
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Provider Name | ROSLYN K POPE FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3425 KNIGHT DR WHITES CREEK WELLNESS AND REHABILITATION CENTER
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City | WHITES CREEK
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State | TN
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Zip | 37189-9189
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Country | US
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Telephone | 615-406-2167
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 KNIGHT DR
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City | WHITES CREEK
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State | TN
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Zip | 37189-9189
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Country | US
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Telephone | 615-406-2167
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21096
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0000114566
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License Number State | TN
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