Individual
DR. JENNIFER SHEA SANDERS POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-C
Contact information
Practice address
18317 US HIGHWAY 90, ROBERTSDALE, AL 36567
(251) 947-2000
Mailing address
18317 US HIGHWAY 90, ROBERTSDALE, AL 36567
(251) 947-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9390693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ID056Z
MEDICARE INDIVIDUAL PROVIDER PTAN
FL
01
—
K4348
MEDICARE GROUP PTAN
FL
01
—
Y0RN5
BCBS
FL
Enumeration date
01/22/2015
Last updated
11/24/2021
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