Individual
MRS. PAMELA D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
710 CORNERSVILLE RD, LEWISBURG, TN 37091
(931) 994-5717
(931) 246-4233
Mailing address
710 CORNERSVILLE RD, LEWISBURG, TN 37091
(931) 422-2192
(931) 246-4233
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000012854
TN
363LF0000X
Family Nurse Practitioner
APN0000012854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505322
—
TN
Enumeration date
10/03/2007
Last updated
08/19/2019
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