Healthcare Provider Details

I. General information

NPI: 1700641446
Provider Name (Legal Business Name): PAMELA DENISE DANIELS HAY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 PARK SIDE RD
HOOVER AL
35244-5146
US

IV. Provider business mailing address

5565 PARK SIDE RD
HOOVER AL
35244-5146
US

V. Phone/Fax

Practice location:
  • Phone: 318-519-5018
  • Fax:
Mailing address:
  • Phone: 318-519-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number237595
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-149492
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: