Individual
LAURA BETH POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
820 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8210
(904) 202-2330
Mailing address
845 BENDING OAK TRL, WINTER GARDEN, FL 34787-2457
(407) 619-8114
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP 9290955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158165A
—
GA
05
—
014415700
—
FL
Enumeration date
02/20/2015
Last updated
05/26/2015
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