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Individual

PAMELA ANN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501
(228) 871-4033
Mailing address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-4033

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R516619
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
275365
ANCC NATIONAL CERTIFICATION FNP
05
PH00121281
MS
Enumeration date
01/16/2007
Last updated
05/23/2023
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