Individual
MS. PAMELA LYNN FAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
(850) 522-4484
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
(850) 522-4484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9488802
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
136994
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101360100
—
FL
Enumeration date
07/23/2006
Last updated
12/13/2018
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