PAMELA J RIDLEY APRN BC NPI 1255409132

NPI Information

NPI: 1255409132
Provider Name: PAMELA J RIDLEY, APRN, BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2400 W MAIN ST
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-6103
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Pamela J Ridley, APRN, BC is a psychiatric/mental health nurse practitioner in Rock Hill, SC. Pamela J Ridley, APRN, BC NPI is 1255409132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 W MAIN ST
ROCK HILL, SC
ZIP 29732-968
Phone: (803) 327-6103
Fax: (803) 328-5443

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2386	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S78242	MEDICARE UPIN	SOUTH CAROLINA
2	570629234005	OTHER	SOUTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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