Individual
PAMELA DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
6700 S FLORIDA AVE STE 33, LAKELAND, FL 33813-3312
(863) 450-3067
(863) 337-4123
Mailing address
6700 S FLORIDA AVE STE 33, LAKELAND, FL 33813-3312
(863) 450-3067
(863) 337-4123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11016599
FL
Other
Enumeration date
12/29/2020
Last updated
04/26/2022
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