Dillon, Pamela
Dillon, Pamela is an individual health care provider with primary practice located at 113 Enochs St , Tylertown MS 39667-2711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dillon, Pamela can be contacted via phone (601) 876-3858.Contact Information
Primary practice address
113 Enochs St
Tylertown MS 39667-2711
Phone: (601) 876-3858
Fax: (601) 825-8130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R831743 | Mississippi |
Profile Details
| NPI number | 1811030091 |
|---|---|
| LBN Legal business name | Dillon, Pamela |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Apr 15th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811030091 | NPPES |
| Mississippi | MEDICAID | 00120305 |
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