Davis, Pamela G

Davis, Pamela G is an individual health care provider with primary practice located at 281 Paradise Ln , Jacksboro TN 37757-3931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Pamela G can be contacted via phone (865) 679-3306.

Contact Information

Primary practice address
281 Paradise Ln Jacksboro TN 37757-3931
Phone: (865) 679-3306
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14820 Tennessee

Profile Details

NPI number 1780907238
LBN Legal business name Davis, Pamela G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2010
Last updated Feb 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780907238 NPPES
Kentucky Other 6458P KY LIC NUMBER

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