Provider Demographics
NPI:1780187120
Name:HINSON, PAMELA MESOWSKI (FNP-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:MESOWSKI
Last Name:HINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:MESOWSKI
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3025 SHRINE RD
Mailing Address - Street 2:STE 270
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520
Mailing Address - Country:US
Mailing Address - Phone:912-262-2723
Mailing Address - Fax:877-244-5666
Practice Address - Street 1:3025 SHRINE RD
Practice Address - Street 2:STE 270
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-262-2723
Practice Address - Fax:877-244-5666
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN212827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily