MEDICARE: LINDA LEE POPE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN0000039306	TN

General Provider Information

NPI Number	:	1033350384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA LEE POPE RN

Provider Business Mailing Address
First Line	:	311 23RD AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1503
Country	:	US
Telephone Number	:	615-340-7781
Fax Number	:	615-340-7792

Provider Business Practice Location Address
First Line	:	311 23RD AVE. NORTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-3302
Country	:	US
Telephone Number	:	615-340-7781
Fax Number	:	615-340-7792

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	04/20/2012

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