Individual
MRS. PAMELA R ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 997-5311
(618) 252-6595
Mailing address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 997-5311
(618) 252-6595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077854
—
IL
Enumeration date
10/12/2006
Last updated
05/06/2020
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