Individual
MRS. PAMELA JOAN CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.,C.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN128025
LA
208000000X
Pediatrics Physician
R862193
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
AP06002
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04203516
—
MS
05
—
2104454
—
LA
Enumeration date
11/01/2006
Last updated
12/09/2020
Update your record
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