Provider Demographics
NPI:1235437377
Name:PULLEY, PAMELA JO (RN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JO
Last Name:PULLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 FALMOUTH RD
Mailing Address - Street 2:UNIT # 8E
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-2680
Mailing Address - Country:US
Mailing Address - Phone:774-238-0575
Mailing Address - Fax:
Practice Address - Street 1:195 FALMOUTH RD
Practice Address - Street 2:UNIT # 8E
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2680
Practice Address - Country:US
Practice Address - Phone:774-238-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA175550163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse