Pam Rillstone, PHD, CNS, BC, CT, PLLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

ARNP 1247222 Issued in FL

Legal business name

PAM RILLSTONE, PHD, CNS, BC, CT, PLLC

Practice address

6817 Southpoint Pkwy
Ste 304
Jacksonville, FL 32216-6282

Phone

(904) 296-3113

Fax

(904) 296-3144

NPI assigned

Aug 9, 2010

Last updated

Aug 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pam Rillstone, PHD, ARNP, CNSNPI 1730494253

Title

Manager

Phone

(904) 610-2761

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pam Rillstone, PHD, ARNP, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Jacksonville, FL
  • NPI 1730494253
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1740595271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 VICTORIA LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264898",
            "telephone_number": "904-610-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM RILLSTONE, PHD, CNS, BC, CT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "RILLSTONE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-610-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ARNP, CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP 1247222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Palmer, MD
• Mayelin Palmero Capote, APRN
• Maria Thereza Palmieri Barbosa, MD
• Francis X. Palmieri, MSW
• Joseph Palopoli III
• Jessica Jayeshkumar Pambhar
• Michael Anthony Pammit, M.D.
• John L Panaccione, MD
• Panama Youth Services, Inc
• Betty Panampally

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.