Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | RN3291452 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN11004571 | FL |
NPI | 1073154894 |
---|---|
Provider Name | Mrs. Pamela Dickens Hill |
First Address | Sneads, FL 32460-4060 |
Second Address | Marianna, FL 32446-7840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 27/08/2021 |