Provider Demographics
NPI:1134752181
Name:HARRIS CLAXTON, PAMELA LIANE (NP-C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LIANE
Last Name:HARRIS CLAXTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3708 SAN PABLO DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-4540
Mailing Address - Country:US
Mailing Address - Phone:252-258-0009
Mailing Address - Fax:919-787-4009
Practice Address - Street 1:1425 PROMISE BEACON CIR STE 110
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3955
Practice Address - Country:US
Practice Address - Phone:919-228-2430
Practice Address - Fax:919-228-2418
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5013401363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology