Individual
MRS. PAMELA S MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1356
(601) 364-1357
Mailing address
305 WILLOW RUN, PEARL, MS 39208-8075
(601) 750-9742
(601) 825-7893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853758
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09958067
—
MS
Enumeration date
07/23/2007
Last updated
07/21/2022
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