Provider Demographics
NPI:1215454020
Name:KEY, PAMELA JEAN (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEAN
Last Name:KEY
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 MOORE FARMS LN
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-3720
Mailing Address - Country:US
Mailing Address - Phone:678-414-5091
Mailing Address - Fax:
Practice Address - Street 1:500 GREEN RD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2745
Practice Address - Country:US
Practice Address - Phone:706-517-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN100097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily