Individual ProviderAmanda Bates SlocumNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1025 Morehead Medical Dr Fl 3, 3rd Floor, Charlotte, NC 28204-2963(704) 355-4593PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Bates Slocum does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1134457252Provider TypeIndividualFull NameSlocum, Amanda BatesTitleMrs.CredentialM.S.N., N.P. - CGenderFemaleSole ProprietorNoEnumeration Date12/1/2009Last Updated4/27/2017Contact InformationPractice LocationPractice Address1025 Morehead Medical Dr Fl 3, 3rd Floor, Charlotte, NC 28204-2963Phone(704) 355-4593FaxUnlisted FaxMailing LocationMailing AddressPO Box 60099, Charlotte, NC 28260-0099Phone(704) 355-4593FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense195409North CarolinaProvider IdentifiersIDDescriptionIssuerIDNP1596DescriptionMedicaidIssuerUnlistedSouth CarolinaID1134457252DescriptionMedicaidIssuerUnlistedNorth Carolina