Pamela Thompson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905265 Issued in MS

Practice address

1413 W Quitman St
Iuka, MS 38852-1130

Phone

(662) 424-9550

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1912600404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COUNTY ROAD 14",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388278746",
            "telephone_number": "662-660-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130",
            "telephone_number": "662-424-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAMELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Surholt
• Jeannie Swann, MA
• Kylee Tapp, MSW, PCMHT
• Sheila Taylor, NP
• Tanechi Temple
• Tishomingo Community Care Center LLC
• Tishomingo Health Services, Inc.
• Tishomingo Health Services, Inc.
• Tishomingo Health Services, Inc.
• Tishomingo Health Services, Inc.

• All providers in Iuka, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.