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PENNY MOONEY POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
172 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3566
(336) 415-5851
(336) 415-5854
Mailing address
172 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3566
(336) 415-5851
(336) 415-5854

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006312
NC
363LF0000X
Family Nurse Practitioner
5006312
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124486832
NC
Enumeration date
07/30/2013
Last updated
10/18/2016
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