Edwards, Pamela Ann

Edwards, Pamela Ann is an individual health care provider with primary practice located at 5502 Marvin Shields Blvd , Gulfport MS 39501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edwards, Pamela Ann can be contacted via phone (228) 871-4033.

Contact Information

Primary practice address
5502 Marvin Shields Blvd Gulfport MS 39501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R516619 Mississippi

Profile Details

NPI number 1043361785
LBN Legal business name Edwards, Pamela Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated May 23rd, 2023 - about last year

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 1043361785 NPPES
Other 275365 ANCC NATIONAL CERTIFICATION FNP
MEDICAID PH00121281 ANCC NATIONAL CERTIFICATION FNP

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