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PAMELA MICHELLE NISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADVANCED PRACTICE NP

Contact information

Practice address
4948 HATFIELD CIR, HAHIRA, GA 31632-2671
(229) 563-0800
Mailing address
4948 HATFIELD CIR, HAHIRA, GA 31632
(229) 563-0800

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN224309
GA

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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