White, Pamela D

White, Pamela D is an individual health care provider with primary practice located at 710 Cornersville Rd , Lewisburg TN 37091. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. White, Pamela D can be contacted via phone (931) 994-5717.

Contact Information

Primary practice address
710 Cornersville Rd Lewisburg TN 37091
Fax: (931) 246-4233
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000012854 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000012854 Tennessee

Profile Details

NPI number 1164619177
LBN Legal business name White, Pamela D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Aug 19th, 2019 - about 5 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 1164619177 NPPES
Tennessee MEDICAID 1505322

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