MS. PAMELA JEAN QUAKENBUSH FNP-BC NPI 1497901383

NPI Information

NPI: 1497901383
Provider Name: MS. PAMELA JEAN QUAKENBUSH, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
13737 NOEL ROAD
STE 1400
DALLAS, TX
ZIP 75240
Phone: (972) 715-5000
Get Directions

MS. Pamela Jean Quakenbush, FNP-BC is a family nurse practitioner in Dallas, TX. MS. Pamela Jean Quakenbush, FNP-BC NPI is 1497901383. 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:

13737 NOEL ROAD
STE 1400
DALLAS, TX
ZIP 75240-004
Phone: (972) 715-5000
Fax: (972) 715-9976

The enumeration date for this NPI number is 8/12/2008 and was last updated on 5/22/2014.

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	363LF0000X	Nurse Practitioner	Family	663373	TEXAS	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	844N29	OTHER	TEXAS	BCBS
2	219840002	MEDICAID	TEXAS
3	TXB121155	MEDICARE PIN	TEXAS
4	TXB121154	MEDICARE PIN	TEXAS
5	P00956712	OTHER	TEXAS	RR MEDICARE
6	219840001	MEDICAID	TEXAS

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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