PAMELA ILLESCA FNP NPI 1801468004

NPI Information

NPI: 1801468004
Provider Name: PAMELA ILLESCA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
601 W DUE WEST AVE
MADISON, TN
ZIP 37115
Phone: (615) 227-3000
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Pamela Illesca, FNP is a family nurse practitioner in Madison, TN with 3 years of experience. Pamela Illesca, FNP NPI is 1801468004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

601 W DUE WEST AVE
MADISON, TN
ZIP 37115-423
Phone: (615) 227-3000

The NPI 1801468004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	29769	TENNESSEE	Yes
2	363LP2300X	Nurse Practitioner	Primary Care	29769	TENNESSEE	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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