Provider Demographics
NPI:1285261503
Name:POPE, PAMELA SUE (CNP FNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:POPE
Suffix:
Gender:F
Credentials:CNP FNP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:SUE
Other - Last Name:CLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:2307 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3654
Mailing Address - Country:US
Mailing Address - Phone:216-272-8692
Mailing Address - Fax:216-397-9039
Practice Address - Street 1:2307 ALLISON RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3654
Practice Address - Country:US
Practice Address - Phone:216-272-8692
Practice Address - Fax:216-397-9039
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026436363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily