Provider Demographics
NPI:1699910158
Name:DOLLAR, PAMELA MADISON (FNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MADISON
Last Name:DOLLAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-1805
Mailing Address - Fax:704-384-1806
Practice Address - Street 1:2000 WELLNESS BLVD STE 140
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3354
Practice Address - Country:US
Practice Address - Phone:704-384-1805
Practice Address - Fax:704-384-1806
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004258363L00000X, 363LF0000X
NC103576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1699910158Medicaid
NC7000608Medicaid
NCNCC371EMedicare PIN
NCNCC371FMedicare PIN
NC1699910158Medicaid
NCNCC371BMedicare PIN
NC2594302AMedicare PIN
NCNCC371CMedicare PIN
NC2594302Medicare PIN