Provider Demographics
NPI:1134752181
Name:HARRIS CLAXTON, PAMELA LIANE (NP-C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LIANE
Last Name:HARRIS CLAXTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 KNIGHTSBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4893
Mailing Address - Country:US
Mailing Address - Phone:252-258-0009
Mailing Address - Fax:
Practice Address - Street 1:4551 NEW BERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2797
Practice Address - Country:US
Practice Address - Phone:984-215-4950
Practice Address - Fax:984-215-4155
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013401363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology