Provider Demographics
NPI:1467411215
Name:POPE, PAMELA RENEE (NP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:RENEE
Last Name:POPE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 SOUTH WALTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504
Mailing Address - Country:US
Mailing Address - Phone:919-874-1003
Mailing Address - Fax:919-894-1336
Practice Address - Street 1:603 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NC
Practice Address - Zip Code:28398-2104
Practice Address - Country:US
Practice Address - Phone:910-659-1088
Practice Address - Fax:888-446-3125
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900355363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner