Provider Demographics
NPI:1740327337
Name:POPLIN, ANN HYATT (FNP-C)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:HYATT
Last Name:POPLIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 INGRAM RD
Mailing Address - Street 2:
Mailing Address - City:LILESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28091-6035
Mailing Address - Country:US
Mailing Address - Phone:704-465-5650
Mailing Address - Fax:
Practice Address - Street 1:2051 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-3203
Practice Address - Country:US
Practice Address - Phone:704-465-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5002608363LF0000X
NC0050-02608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily