PAMELA SUE BUCKALLEW ARNP
NPI 1043279466
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Pamela Buckallew's NPI number?

The NPI number for Pamela Buckallew is 1043279466. It was assigned to this individual provider in the NPPES registry on March 23, 2006. The provider is also known as Pamela Sue Sims.

Q: What is Pamela Buckallew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Buckallew was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2006

4311 SALISBURY ROAD, JACKSONVILLE, FL 32216(904) 332-4316(904) 332-4339 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Pamela Sue Buckallew Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA SUE BUCKALLEW ARNP (NPI 1043279466) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP1663702) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1043279466

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAMELA SUE BUCKALLEWCredential: ARNP

Location Address4311 SALISBURY ROADJacksonville, FL 32216

Mailing Address4311 Salisbury RoadJacksonville, FL 32216 · (904) 332-4316 · Fax (904) 332-4339

Phone(904) 332-4316

Fax(904) 332-4339

Sole ProprietorNo

Enumeration DateMarch 23, 2006

Last NPPES UpdateJune 12, 2013

✔ NPI 1043279466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP1663702

Also ListedEmergency MedicineTaxonomy 207P00000X · License ARNP1663702 (FL)

4311 SALISBURY ROAD, Jacksonville, FL 32216

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Other Names 1

Former Name (1)Pamela Sue Sims

Other Identifiers 3

Medicare ID-Type UnspecifiedP38183FL

Medicaid302869100FL

Medicare PINY8482WFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Buckallew's NPI number?

The NPI number for Pamela Buckallew is 1043279466. It was assigned to this individual provider in the NPPES registry on March 23, 2006. The provider is also known as Pamela Sue Sims.

Where is Pamela Buckallew located?

Pamela Buckallew practices at 4311 Salisbury Road, Jacksonville, FL 32216. The listed phone number is (904) 332-4316.

What is Pamela Buckallew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pamela Buckallew was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.