Healthcare Provider Details

I. General information

NPI: 1548467632
Provider Name (Legal Business Name): PAMELA ANN ROGERS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD
ASHEVILLE NC
28805-2576
US

IV. Provider business mailing address

1100 TUNNEL RD
ASHEVILLE NC
28805-2087
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-7911
  • Fax: 828-299-5896
Mailing address:
  • Phone: 828-298-7911
  • Fax: 828-299-5896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5003236
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number229988
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: