Provider Demographics
NPI:1053660944
Name:COX, PAMELA LYNN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNN
Last Name:COX
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 LYNN RD STE 12
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-4501
Mailing Address - Country:US
Mailing Address - Phone:888-860-3331
Mailing Address - Fax:828-570-5400
Practice Address - Street 1:2060 LYNN RD STE 12
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-4501
Practice Address - Country:US
Practice Address - Phone:888-860-3331
Practice Address - Fax:828-570-5400
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC104886163WP0808X
NC5020441363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health