Healthcare Provider Details

I. General information

NPI: 1851524524
Provider Name (Legal Business Name): PAMELA JEAN BLANCHARD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2009
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 RIVERVIEW AVE STE 500A
NORFOLK VA
23510-1066
US

IV. Provider business mailing address

3000 COLISEUM DR STE 205
HAMPTON VA
23666-5963
US

V. Phone/Fax

Practice location:
  • Phone: 757-252-1775
  • Fax: 833-890-4712
Mailing address:
  • Phone: 757-824-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024168458
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024168458
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: