Provider Demographics
NPI:1023422300
Name:COPE, PAMELA JONES (APRN-C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JONES
Last Name:COPE
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 HAND AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1136
Mailing Address - Country:US
Mailing Address - Phone:386-843-3132
Mailing Address - Fax:386-243-7212
Practice Address - Street 1:1425 HAND AVE STE D
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-1136
Practice Address - Country:US
Practice Address - Phone:386-843-3132
Practice Address - Fax:386-243-7212
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014496363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health