Healthcare Provider Details

I. General information

NPI: 1548483506
Provider Name (Legal Business Name): PAMELA ISOM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 JAMES ROBERTSON PKWY
NASHVILLE TN
37243-6077
US

IV. Provider business mailing address

355 SUNSET DR
SPARTA TN
38583-5574
US

V. Phone/Fax

Practice location:
  • Phone: 931-212-5409
  • Fax:
Mailing address:
  • Phone: 931-212-5409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number101031
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number101031
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: