| Doctor Name: | MRS. PAMELA R FAIL |
| NPI Number: | 1205954906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R629871 |
| Business Practice Address: | 15 A South 6th Street Bay Springs, MS - 39422 |
| Business Phone Number: | 6017642101 |
| Business Fax Number: | 6017644789 |
| Mailing Address: | 3007 Hwy 15, BAY SPRINGS |
| State: | MS |
| Postal Code: | 39422 |
| Phone Number: | 6017643055 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R629871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |