Healthcare Provider Details

I. General information

NPI: 1205964343
Provider Name (Legal Business Name): PAMELA LYNN VARNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3169 2ND AVE EAST
BIG STONE GAP VA
24219
US

IV. Provider business mailing address

PO BOX 9054
GRAY TN
37615-9054
US

V. Phone/Fax

Practice location:
  • Phone: 276-523-8300
  • Fax: 276-523-6964
Mailing address:
  • Phone: 423-467-3600
  • Fax: 423-467-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001087700RN
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: