MRS. PAMMELA MARIE POORE


Address: 1276 Gilbreath Dr, Johnson City, TN 37614-6503
Phone: 4235712556

MRS. PAMMELA MARIE POORE (NPI# 1982175501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982175501
Entity Type Individual
Full Name MRS. PAMMELA MARIE POORE
Credential FNP
Practice Address 1276 Gilbreath Dr
Johnson City
TN 37614-6503
Practice Telephone 4235712556
Enumeration Date 2018-12-07
Last Update Date 2018-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family 		24993 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1276 GILBREATH DR
City JOHNSON CITY
State TN
Zip Code 37614-6503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497295711 Charles Faust Dental Hygienist 1276 Gilbreath Dr, Johnson City, TN 37614 2017-03-06
1124642582 Amanda Lane Mccurry Registered Nurse 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2020-06-02
1063036671 Rashid Mahmood Qureshi Pathology 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2020-05-31
1548805807 Nathan Benjamin Barger Specialist/Technologist 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2019-11-11
1588209852 Caitlyn Harter Specialist/Technologist 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2019-11-11
1578107280 Brett Lewis Specialist/Technologist 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2019-11-05
1720638190 Victoria Renee Latham Nurse Practitioner 1276 Gilbreath Dr, Johnson City, TN 37614 2019-09-17
1104488626 Tiffany Danielle Holt Nurse Practitioner 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2019-07-04
1306333513 Deep Kalariya Student in an Organized Health Care Education/Training Program 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2018-04-13
1609373984 Sri Pallavi Morampudi Student in an Organized Health Care Education/Training Program 1276 Gilbreath Dr, Johnson City, TN 37614-6503 2018-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467061887 Jessica Marie Robinson Pharmacist Maple Avenue Building 7, Johnson City, TN 37614 2020-07-31
1881220697 Rachel Miller Slough Psychologist 801 S Dossett Drive, Johnson City, TN 37614 2020-03-13
1326682493 Yoshihiro Kojima Specialist/Technologist 127 W John Robert Bill Dr, Johnson City, TN 37614 2019-11-01
1205360104 Charlotte Lynn Alexander Student in an Organized Health Care Education/Training Program Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 2017-04-18
1679006787 Joel Whipple Student in an Organized Health Care Education/Training Program Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 2017-04-05
1265889414 Dyan Darang Student in an Organized Health Care Education/Training Program Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 2016-05-18
1194170142 Katharine Ann Lasher Student in an Organized Health Care Education/Training Program Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 2016-04-27
1992150189 Nishika Shina Moradia Student in an Organized Health Care Education/Training Program East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 2016-04-26
1962884429 Apurva Bansal Student in an Organized Health Care Education/Training Program 325 North State of Franklin, Johnson City, TN 37614 2015-06-22
1760877740 Adrienne Griffin Student in an Organized Health Care Education/Training Program Dogwood Avenue, Building 1, Room 249, Johnson City, TN 37614 2015-04-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025724 Victoria Elizabeth Mcmanus Nurse Practitioner 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 2020-08-24
1649880139 Amanda Danielle Ledford Nurse Practitioner 3 Enfield Ct, Johnson City, TN 37604-9101 2020-08-09
1861000135 Deborah L Johnson Nurse Practitioner 2 Mcgregor Pl, Johnson City, TN 37604-1454 2020-07-22
1255978417 William Mcguire Nurse Practitioner 176 Willocks Rd, Johnson City, TN 37601-6274 2019-12-06
1881248664 Caiti Riden Nurse Practitioner 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 2019-07-30
1699330282 Courtney S Willis Nurse Practitioner 2203 N Greenwood Dr, Johnson City, TN 37604-7030 2019-05-08
1861955452 Cindy Canter Nurse Practitioner 3552 Greenwood Dr, Johnson City, TN 37604-2834 2019-04-10
1366908980 Holly Anne Parvin Nurse Practitioner 3209 W Walnut St, Johnson City, TN 37604-5949 2019-02-19
1891261376 Lindsey Toney Nurse Practitioner 980 Smalling Rd, Johnson City, TN 37601-8208 2018-10-22
1821572868 Karyn Kimberly Bruton Nurse Practitioner 1723 N Roan St, Johnson City, TN 37601-3949 2018-09-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37614

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Dataset Information

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.

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