Individual provider · Type 1 NPI

Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P

Psychiatric/Mental Health Nurse Practitioner · Grenada, MS

NPI number 1194947754 Active

Practice location

1970 Grandview Dr
Grenada, MS 38901-5066

Fax (662) 227-3740

Mailing address

PO Box 1505
Greenwood, MS 38935-1505

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR734347 (MS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR734347 (MS)

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

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About NPI 1194947754

Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P's National Provider Identifier is 1194947754, issued on May 3, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grenada, MS. The record was last updated on Feb 2, 2010.