Individual provider · Type 1 NPI
Collietta C. Bassett
Psychiatric/Mental Health Nurse Practitioner · Hernando, MS
NPI number
1063976983
Active
Practice location
2555 Caffey St
Hernando, MS 38632-2116
Mailing address
3730 Saint Philip Dr
Bartlett, TN 38133-4216
Other practice locations
- 3909 Covington Pike, Memphis, TN 38135-2281 · (731) 394-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 110891 (WV) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 903239 (MS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 25447 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063976983
Collietta C. Bassett's National Provider Identifier is 1063976983, issued on Jan 24, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hernando, MS. The record was last updated on Sep 11, 2026.