Provider Demographics
NPI:1356620181
Name:SCOTT, PAMELA LYNN (NP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 W HILLSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5118
Mailing Address - Country:US
Mailing Address - Phone:559-732-9900
Mailing Address - Fax:559-732-9908
Practice Address - Street 1:5315 W HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5118
Practice Address - Country:US
Practice Address - Phone:559-732-9900
Practice Address - Fax:559-732-9908
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF20159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5567433Medicaid
CA00G550601Medicare PIN
CAA93346Medicare UPIN