PAMELA C. LEE (NPI# 1285677872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285677872 |
| Entity Type | Individual |
| Full Name | PAMELA C. LEE |
| Credential | APRN, BC |
| Practice Address |
1205 Van Streat Hwy Nicholls GA 31554-5025 |
| Practice Telephone | (912) 345-2474 |
| Practice Fax Number | 9123452473 |
| Mailing Telephone | (912) 345-2474 |
| Mailing Fax Number | 9123452473 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
034673 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00441691C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351785 | Pamela Darleen Lee | Case Manager/Care Coordinator | 5054 S Toledo Ave, Tulsa, OK 74135-3341 | 2019-11-18 |
| 1265914790 | Pamela Pribble Lee | Physical Therapist | 124 Rooster Cogburn Ct, Weatherford, TX 76088-7228 | 2018-08-31 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| 1174995450 | Pamela Orozco Lee | Nurse Practitioner | 505 Parnassus Avenue, 11 Long, San Francisco, CA 94143 | 2015-10-26 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1023204245 | Pamela Lee | Nurse's Aide | 7007 Halliday Ave, Oakland, CA 94605-2361 | 2007-09-20 |
| 1306971858 | Pamela Jo Lee | Pharmacist | 1527 W Grand Ave, Chickasha, OK 73018-5444 | 2007-02-23 |
| 1942809025 | Pamela Jo Lee | Pharmacist | 995 S Main St, Nicholasville, KY 40356-2151 | 2020-10-20 |
| 1841834082 | Pamela Audrey Brozozog Lee | Physician Assistant | 607 E Jubal Early Dr, Winchester, VA 22601-5178 | 2019-10-31 |
| 1316324536 | Pamela Lee | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2015-04-27 |
| Street Address |
1205 VAN STREAT HWY |
| City | NICHOLLS |
| State | GA |
| Zip Code | 31554-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898882 | Bacon County Health Services, Inc. | General Acute Care Hospital | 1205 Van Streat Hwy, Nicholls, GA 31554 | 2017-05-17 |
| 1306021795 | Nicholls Family Health Care, P.C. | Clinic/Center | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2008-01-03 |
| 1649378506 | Jose Ramon Castro | Family Medicine | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295095925 | Crh Physician Practices LLC | Clinic/Center | 804 N Liberty St, Nicholls, GA 31554 | 2012-05-29 |
| 1083846554 | Ashley Miller | Dentist | 1153 N Liberty St, Nicholls, GA 31554 | 2009-08-18 |
| 1508913278 | Sheila Lynette Taylor | Contractor | 117 Aspen Road, Nicholls, GA 31554 | 2007-01-04 |
| 1457460198 | Nicholls Pharmacy | Pharmacist | 1003 Van Streat Hwy, Nicholls, GA 31554 | 2006-08-29 |
| 1174639959 | Brad M Mobley | Pharmacist | 1003 Van Streat Highway, Nicholls, GA 31554 | 2006-08-22 |
| 1760817795 | Healthstat On-site Clinic/milliken Alma | Preventive Medicine | 2410 Ga Highway 32 W, Nicholls, GA 31554-3446 | 2013-09-10 |
| 1922161033 | Myra Sellers | Speech-Language Pathologist | 105 Cherrywood Dr, Nicholls, GA 31554-3505 | 2006-12-19 |
| 1669418711 | Nicholls Clinic | Public Health or Welfare | 806 N Liberty St, Nicholls, GA 31554-4006 | 2006-06-20 |
| 1831568724 | Latasha Nicole Gilliard | Nurse Practitioner | 7171 Nails Rd, Nicholls, GA 31554-4613 | 2015-09-21 |
| 1184748808 | Nicholls Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1003 Van Streat Hwy, Nicholls, GA 31554-5031 | 2007-03-19 |
| Find all providers in zip 31554 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831568724 | Latasha Nicole Gilliard | Nurse Practitioner | 7171 Nails Rd, Nicholls, GA 31554-4613 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.