Individual
PAMELA K PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1341
Mailing address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R780836
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06253329
—
MS
Enumeration date
03/10/2009
Last updated
09/23/2021
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