Individual
PAMELA DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
113 ENOCHS ST, TYLERTOWN, MS 39667-2711
(601) 876-3858
(601) 825-8130
Mailing address
113 ENOCHS ST, TYLERTOWN, MS 39667-2711
(601) 876-3858
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R831743
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120305
—
MS
Enumeration date
02/15/2007
Last updated
04/15/2014
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