Individual
PAMELA AUTRY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
111036
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016198
NC
Other
Enumeration date
05/04/2022
Last updated
11/06/2023
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