Fowler, Pamela Jo
Fowler, Pamela Jo is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fowler, Pamela Jo can be contacted via phone (601) 355-1234.Contact Information
Primary practice address
2510 Lakeland Dr
Flowood MS 39232-9513
Phone: (601) 355-1234
Fax: (601) 326-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R593044 | Mississippi |
Profile Details
| NPI number | 1568633022 |
|---|---|
| LBN Legal business name | Fowler, Pamela Jo |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Nov 2nd, 2017 - about 7 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 | 1568633022 | NPPES |
| Mississippi | MEDICAID | 04825050 | |
| Mississippi | Other | P00872456 |
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