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Individual
PAMELA ILLESCA
Active
Individual
PAMELA ILLESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29769
TN
363LP2300X
Primary Care Nurse Practitioner
29769
TN
Other
Enumeration date
07/15/2021
Last updated
05/28/2026
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