Individual
PAMALA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(629) 254-2678
Mailing address
7952 S REGATTA DR APT 102, CORDOVA, TN 38016-1357
(629) 254-2678
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
36687
TN
Other
Enumeration date
07/22/2024
Last updated
09/13/2024
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