1760934483 NPI number — DR. PAMELA JEAN TANK-DILLINGHAM APRN, CNP, DNP

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760934483 NPI number — DR. PAMELA JEAN TANK-DILLINGHAM APRN, CNP, DNP

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

TANK-DILLINGHAM

Provider First Name:

PAMELA

Provider Middle Name:

JEAN

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

APRN, CNP, DNP

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1760934483

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/29/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

17 AUDUBON DR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

ASHEVILLE

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

28804-1201

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

828-222-0280

Provider Business Mailing Address Fax Number:

828-800-9580

Provider First Line Business Practice Location Address:

17 AUDUBON DR

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ASHEVILLE

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

28804-1201

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

828-222-0280

Provider Business Practice Location Address Fax Number:

828-800-9580

Provider Enumeration Date:

10/28/2016

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 363LP0808X , with the licence number:  101.0137808 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 109634 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 205756 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 12.011217 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: L8-0010280 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: G183913 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 53-84240-101 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 3016217 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: AC004089 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: RN2361086 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 085572-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: F405762-01 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: APRN03601 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: CP002904 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363LP0808X , with the licence number: 5008740 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: CP002904 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
• Identifier: MCS007586B . This is a "RX AUTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 109634 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
• Identifier: 9543 . This is a "RX AUTH" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
• Identifier: 3146 . This is a "RX AUTH" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
• Identifier: 12.011217 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 5008740 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: RN2361086 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: APRN03601 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
• Identifier: L8-0010280 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
• Identifier: 205756 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( AK ) . This identifiers is of the category "OTHER".
• Identifier: F405762-01 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 101.0137808 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
• Identifier: 52604 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
• Identifier: 53-84240-101 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
• Identifier: G183913 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
• Identifier: 085572-23 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
• Identifier: 3016217 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: AC004089 . This is a "BOARD OF NURSING APRN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".