| Pamela Giveans Np Pllc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (228) 331-3310 | |
| (228) 284-1608 |
| Full Name | Pamela Giveans Np Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Pamela L Giveans (NP) |
| Authorized Official Contact | 9852900402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Giveans Np Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 | Pamela Giveans Np Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 |
| NPI Number | 1376010934 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 10/31/2018 |
| Medicare PECOS PAC ID | 5395099527 |
|---|---|
| Medicare Enrollment ID | O20181107000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376010934 | NPI | - | NPPES |
| 03570021 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela L Giveans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396907655 PECOS PAC ID: 8022177005 Enrollment ID: I20081105000581 |
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