Doctor Name: | PAMELA C GUNNELL |
NPI Number: | 1043214562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN93501 |
Business Practice Address: | 67 N Washington Ave Cookeville, TN - 385013371 |
Business Phone Number: | 9315264004 |
Business Fax Number: | 9315264014 |
Mailing Address: | Po Box 702, COOKEVILLE |
State: | TN |
Postal Code: | 385030702 |
Phone Number: | 9315264004 |
Fax Number: | 9315264014 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN93501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |