Brunson, Pamela Clover

Brunson, Pamela Clover is an individual health care provider with primary practice located at 16570 Highway 104 N Ste B, Lexington TN 38351-3877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brunson, Pamela Clover can be contacted via phone (731) 968-2233.

Contact Information

Primary practice address
16570 Highway 104 N Ste B Lexington TN 38351-3877
Phone: (731) 968-2233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9203441 Florida

Profile Details

NPI number 1013345529
LBN Legal business name Brunson, Pamela Clover
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2013
Last updated Dec 8th, 2016 - about 8 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 1013345529 NPPES
Florida MEDICAID 009904700

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