Provider Demographics
NPI:1972646669
Name:HARLAN, PAMELA J (RNC WHNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:HARLAN
Suffix:
Gender:F
Credentials:RNC WHNP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC WHNP
Mailing Address - Street 1:PO BOX 601
Mailing Address - Street 2:
Mailing Address - City:CUSSETA
Mailing Address - State:GA
Mailing Address - Zip Code:31805-0601
Mailing Address - Country:US
Mailing Address - Phone:706-989-3663
Mailing Address - Fax:706-989-1243
Practice Address - Street 1:213 MCNAUGHTON ST
Practice Address - Street 2:
Practice Address - City:CUSSETA
Practice Address - State:GA
Practice Address - Zip Code:31805-3013
Practice Address - Country:US
Practice Address - Phone:706-989-3663
Practice Address - Fax:706-989-1243
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN080987363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health