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Individual

PAMELA RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
854 MULBERRY AVE, SELMER, TN 38375-2334
(731) 646-1781
Mailing address
11100 OLD HWY 64, BOLIVAR, TN 38008
(731) 228-0657

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20168
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20168
TN

Other

Enumeration date
07/21/2015
Last updated
11/12/2025
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