PAMELA J WHITLOCK FNP NPI 1356417810

NPI Information

  • NPI: 1356417810
  • Provider Name: PAMELA J WHITLOCK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4016 MAIN ST
    CASSVILLE, MO
    ZIP 65625
  • Phone: (417) 847-0057

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NPI Details

Pamela J Whitlock, FNP is a family nurse practitioner in Cassville, MO. Pamela J Whitlock, FNP NPI is 1356417810. 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:

4016 MAIN ST
CASSVILLE, MO
ZIP 65625-753
Phone: (417) 847-0057
Fax: (417) 847-0079

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/6/2012.

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
1363LF0000XNurse PractitionerFamily144642MISSOURIYes

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
1P54896MEDICARE UPINMISSOURI
2000082875MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
3425785011MEDICAIDMISSOURI

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: 3/30/2025

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