Individual provider · Type 1 NPI
Kenneth John Risinger, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Brandon, MS
NPI number
1053140103
Active
Practice location
411 E Government St
Brandon, MS 39042-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906843 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053140103
Kenneth John Risinger, PMHNP's National Provider Identifier is 1053140103, issued on Jul 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandon, MS. The record was last updated on Aug 12, 2024.