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Pamela Renee Bethel-Wilson, NP

Nurse Practitioner, Adult Health in Dallas, TX. Individual provider (NPI-1).

NPI number1013404292
StatusActive
Last updated in NPPESApr 13, 2018

Details

NPI
1013404292
Entity type
Individual (NPI-1)
Name
Pamela Renee Bethel-Wilson
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2018
Last updated
Apr 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health308544NYYes
363LA2200X Nurse Practitioner, Adult HealthRN181956GA

Practice location

4055 Valley View Ln
Dallas, TX 75244-5074

Phone 972-715-3800

Mailing address

580 Magnolia Dr
Douglasville, GA 30134-6634

Phone 404-395-7401

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