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NPI Code Detail

MEDICARE: MRS. PAMELA GRAHAM SWAIN FNP-C

MEDICARE: MRS. PAMELA GRAHAM SWAIN FNP-C
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
1363LF0000XFamily Nurse Practitioner5002615NC
2363L00000XNurse Practitioner5002615NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180JMOTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356505945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA GRAHAM SWAIN FNP-C
Provider Business Mailing Address
First Line : 571 S ALLEN RD
Second Line :
City : FLAT ROCK
State : NC
Zip : 28731-9447
Country : US
Telephone Number : 828-692-6178
Fax Number : 828-692-2365
Provider Business Practice Location Address
First Line : 125 MEDICAL PARK LN STE F
Second Line :
City : MURPHY
State : NC
Zip : 28906-6921
Country : US
Telephone Number : 828-837-2128
Fax Number : 828-835-9311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 02/10/2026

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