Provider Demographics
NPI:1548064504
Name:STINES, PAMELA JEAN
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JEAN
Last Name:STINES
Suffix:
Gender:
Credentials:
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 425
Mailing Address - Street 2:
Mailing Address - City:DAKOTA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68731-0425
Mailing Address - Country:US
Mailing Address - Phone:712-389-5635
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 425
Practice Address - Street 2:
Practice Address - City:DAKOTA CITY
Practice Address - State:NE
Practice Address - Zip Code:68731-0425
Practice Address - Country:US
Practice Address - Phone:712-389-5635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty