Provider Demographics
NPI:1952442527
Name:SLOOP, PAMELA S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:SLOOP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BOONE TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3514
Mailing Address - Country:US
Mailing Address - Phone:336-667-8241
Mailing Address - Fax:336-667-1326
Practice Address - Street 1:112 BOONE TRL
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3514
Practice Address - Country:US
Practice Address - Phone:336-667-8241
Practice Address - Fax:336-667-1326
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC132202363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
2592594Medicare ID - Type Unspecified
Q64873Medicare UPIN