Provider Demographics
NPI:1992118129
Name:POPE, JOSHUA PERRY (CRNP)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:PERRY
Last Name:POPE
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7067 VETERANS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-5118
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:7067 VETERANS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-5118
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:205-884-8111
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0614003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily