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NPI Code Detail

MEDICARE: MRS. PAMELA JOAN CHRISMAN N.P.,C.P.N.P.

MEDICARE:  MRS. PAMELA JOAN CHRISMAN  N.P.,C.P.N.P.
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN128025LA
2208000000XPediatrics PhysicianR862193MS
3363LP0200XPediatric Nurse PractitionerAP06002LA

Other Identifiers

General Provider Information

NPI Number : 1629155841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA JOAN CHRISMAN N.P.,C.P.N.P.
Provider Business Mailing Address
First Line : 2900 INDIANA AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-4605
Country : US
Telephone Number : 504-575-3712
Fax Number : 504-575-3691
Provider Business Practice Location Address
First Line : 113 CHRISTIAN LN
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1350
Country : US
Telephone Number : 985-781-7353
Fax Number : 985-781-7354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 12/09/2020

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