Individual
PAMELA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15096 SAM JACKSON RD, BOGALUSA, LA 70427-0624
(985) 335-7166
Mailing address
15096 SAM JACKSON RD, BOGALUSA, LA 70427-0624
(985) 335-7166
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
115254
LA
363LF0000X
Family Nurse Practitioner
Primary
229743
LA
Other
Enumeration date
01/05/2023
Last updated
12/06/2023
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