Healthcare Provider Details

I. General information

NPI: 1639018005
Provider Name (Legal Business Name): PAMELA JOY FOLLEN RN, MSN,IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD
CHESTERFIELD MO
63017-3485
US

IV. Provider business mailing address

232 S WOODS MILL RD
CHESTERFIELD MO
63017-3485
US

V. Phone/Fax

Practice location:
  • Phone: 314-205-6378
  • Fax:
Mailing address:
  • Phone: 314-205-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number091058
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: