Provider Demographics
NPI:1548206394
Name:ANGEL-POMPI, DEBORA JOAN (NP)
Entity type:Individual
Prefix:MS
First Name:DEBORA
Middle Name:JOAN
Last Name:ANGEL-POMPI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37367-0344
Mailing Address - Country:US
Mailing Address - Phone:423-447-3060
Mailing Address - Fax:833-450-6132
Practice Address - Street 1:232 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37367-5305
Practice Address - Country:US
Practice Address - Phone:423-447-3060
Practice Address - Fax:833-450-6132
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN66153363LF0000X
TN5940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000005940OtherSTATE NP LICENSE
TN1517044Medicaid