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DR. JENNIFER SHEA SANDERS POPE DNP, CRNP, FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1720477151

Individual Registrant:
DR. JENNIFER SHEA SANDERS POPE DNP, CRNP, FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
18317 US HIGHWAY 90  ROBERTSDALE, AL 36567 US
Tel: 251-947-2000  Fax: --

Contact information for business:
18317 US HIGHWAY 90  ROBERTSDALE, AL 36567 US
Tel: 251-947-2000  Fax: --

Registration Information:
NPI: 1720477151
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FL9390693

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE INDIVIDUAL PROVIDER PTANID056ZFL01
MEDICARE GROUP PTANK4348FL01
BCBSY0RN5FL01




HEALTH CARE JOBS AL - Page 1



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