Individual provider · Type 1 NPI
Jared Daniel Edmonds, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Wilmington, NC
NPI number
1245040567
Active
Practice location
3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Mailing address
1012 Justus Dr
Johnson City, TN 37604-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5021554 (NC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 245445 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245040567
Jared Daniel Edmonds, PMHNP's National Provider Identifier is 1245040567, issued on Jan 9, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wilmington, NC. The record was last updated on Feb 6, 2025.