Provider Demographics
NPI:1831843416
Name:POPE, CORTNE ARMANII (LPN, LE)
Entity type:Individual
Prefix:
First Name:CORTNE
Middle Name:ARMANII
Last Name:POPE
Suffix:
Gender:F
Credentials:LPN, LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 SUNSET AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5732
Mailing Address - Country:US
Mailing Address - Phone:252-314-3920
Mailing Address - Fax:
Practice Address - Street 1:118 SUNSET AVE STE 200
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5732
Practice Address - Country:US
Practice Address - Phone:252-314-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC80503164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse