Individual provider · Type 1 NPI

Stacey Neubauer Kitchens, PMHNP

Nurse Practitioner · Jackson, MS

NPI number 1114443678 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2411 Culleywood Rd
Jackson, MS 39211-4917

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X902210 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114443678

Stacey Neubauer Kitchens, PMHNP's National Provider Identifier is 1114443678, issued on Aug 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 16, 2017.