Provider Demographics
NPI:1780287086
Name:ALLISON, PAMELA L
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:L
Last Name:ALLISON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:L
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 MOUNT ZION RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8923
Mailing Address - Country:US
Mailing Address - Phone:740-600-3121
Mailing Address - Fax:
Practice Address - Street 1:1020 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8923
Practice Address - Country:US
Practice Address - Phone:740-600-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6601458376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6601458Medicaid