Organization · Type 2 NPI
Innovative Psychiatry
Psychiatric/Mental Health Nurse Practitioner · Millington, TN
NPI number
1104722313
Active
Practice location
7664 US Highway 51 N Ste 2
Millington, TN 38053-2353
Fax (901) 425-9624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1104722313
Innovative Psychiatry's National Provider Identifier is 1104722313, issued on Oct 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Millington, TN. The record was last updated on Oct 15, 2026.