Individual
JESSICA LYNN POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
125 MICHIGAN AVE NE, WASHINGTON, DC 20017-1004
(202) 884-9096
Mailing address
14819 COURTLANDT HEIGHTS RD, WOODBRIDGE, VA 22193-3149
(703) 861-4310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000000798
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000798
BOC
—
Enumeration date
03/10/2014
Last updated
03/10/2014
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