Provider Demographics
NPI:1033856778
Name:BALDRIDGE, PAMALA JOY (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:PAMALA
Middle Name:JOY
Last Name:BALDRIDGE
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:PAMALA
Other - Middle Name:JOY
Other - Last Name:BRITAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3116 WILLOW PLACE DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2637
Mailing Address - Country:US
Mailing Address - Phone:469-628-5208
Mailing Address - Fax:
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1076987363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care