Healthcare Provider Details

I. General information

NPI: 1063920452
Provider Name (Legal Business Name): PAMELA ANN BATES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA ANN HINES

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEWAY ST STE 2
HOT SPRINGS NATIONAL PARK AR
71901-7155
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-2426
  • Fax: 501-623-2405
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA005333
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: