Individual
MR. JONATHAN D POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C, PMHNP-BC
Contact information
Practice address
2708 N 22ND ST, TAMPA, FL 33605-2760
(352) 541-0485
(813) 566-0881
Mailing address
2708 N 22ND ST, TAMPA, FL 33605-2760
(352) 541-0485
(813) 566-0881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9349601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024125000
—
FL
Enumeration date
02/19/2018
Last updated
07/06/2020
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