Provider Demographics
NPI:1154159887
Name:BENDE, PAMELA A (PMHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:BENDE
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7728 TRANQUIL TRL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1444
Mailing Address - Country:US
Mailing Address - Phone:615-638-7880
Mailing Address - Fax:
Practice Address - Street 1:7728 TRANQUIL TRL
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1444
Practice Address - Country:US
Practice Address - Phone:615-638-7880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2024059021363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health