| Doctor Name: | PAMELA STANLEY |
| NPI Number: | 1003273574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP08268 |
| Business Practice Address: | 7777 Hennessy Blvd Suite 701 Baton Rouge, LA - 708084300 |
| Business Phone Number: | 2257655864 |
| Business Fax Number: | 2257652013 |
| Mailing Address: | 2051 Silverside Dr, Suite 260 BATON ROUGE |
| State: | LA |
| Postal Code: | 708089005 |
| Phone Number: | 2254908882 |
| Fax Number: | 2257659291 |
| NPI Enumeration Date: | 01/28/2016 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP08268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |