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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811030091 NPPES
Mississippi MEDICAID 00120305

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