Healthcare Provider Details

I. General information

NPI: 1003756958
Provider Name (Legal Business Name): PAMELA ROSS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 N HIGHWAY 7 STE 201
HOT SPRINGS VILLAGE AR
71909-9304
US

IV. Provider business mailing address

4419 N HIGHWAY 7 STE 201
HOT SPRINGS VILLAGE AR
71909-9304
US

V. Phone/Fax

Practice location:
  • Phone: 501-922-2217
  • Fax:
Mailing address:
  • Phone: 501-922-2217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number236484
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: