PAMELA ROUSH LPN
NPI 1902145725
Licensed Practical Nurse in Boone, NC

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since February 14, 2013

150 DEN-MAC DR, BOONE, NC 28607(828) 263-8171(828) 263-0995 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Female
Licensed Practical Nurse

About PAMELA ROUSH

This page provides the complete NPI Profile along with additional information for Pamela Roush, a provider established in Boone, North Carolina with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1902145725 assigned on February 2013. The practitioner's primary taxonomy code is 164W00000X with license number 59457 (TN). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI: 1902145725 Verify this NPI
Provider Name: PAMELA ROUSH LPN
Other Name: PAMELA DARLENE LEONARD
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 150 DEN-MAC DR BOONE, NC 28607
Location Phone: (828) 263-8171
Location Fax: (828) 263-0995
Mailing Address: 515 CLANTON RD CHARLOTTE, NC 28217
Mailing Phone: (704) 332-9001
Mailing Fax: (704) 714-1182
Is Sole Proprietor?: Yes
Enumeration Date: 02-14-2013
Last Update Date: 07-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: 59457
License State: TN
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.