Provider Demographics
NPI:1063235406
Name:POPE, ALEXANDRIA NICOLE (BSN, RN/STUDENT FNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:NICOLE
Last Name:POPE
Suffix:
Gender:F
Credentials:BSN, RN/STUDENT FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 MOUNT HOPE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-4225
Mailing Address - Country:US
Mailing Address - Phone:931-332-2646
Mailing Address - Fax:
Practice Address - Street 1:2401 MOUNT HOPE RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-4225
Practice Address - Country:US
Practice Address - Phone:931-332-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN230413390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program