Provider Demographics
NPI:1144489402
Name:FERRAND, PAMELA THOMPSON (NURSE)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:THOMPSON
Last Name:FERRAND
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 MOONRAKER DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5521
Mailing Address - Country:US
Mailing Address - Phone:985-285-5832
Mailing Address - Fax:
Practice Address - Street 1:152 MOONRAKER DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5521
Practice Address - Country:US
Practice Address - Phone:985-285-5832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA860086164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse