MEDICARE: PAMELA ROSS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	236484	AR

General Provider Information

NPI Number	:	1003756958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA ROSS NP

Provider Business Mailing Address
First Line	:	4419 N HIGHWAY 7 STE 201
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-9304
Country	:	US
Telephone Number	:	501-922-2217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4419 N HIGHWAY 7 STE 201
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-9304
Country	:	US
Telephone Number	:	501-922-2217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	06/16/2026

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