Individual
PAMELA MICHELLE MOLCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4760
(662) 349-6577
Mailing address
7276 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4760
(662) 349-6577
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R888197
MS
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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