Organization · Type 2 NPI

Faith Community Disease Prevention and Health Promotion Foundation

Psychiatric/Mental Health Nurse Practitioner · Jacksonville, TX

NPI number 1144816083 Active

Practice location

319 Neches Street
Jacksonville, TX 75766-4931

Mailing address

PO Box 2362
Jacksonville, TX 75766-0086

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1144816083

Faith Community Disease Prevention and Health Promotion Foundation's National Provider Identifier is 1144816083, issued on Dec 15, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, TX. The record was last updated on Dec 15, 2020.