Individual provider · Type 1 NPI

Philip Southern, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Georgetown, TX

NPI number 1316746530 Active

Practice location

3626 Williams Dr Ste 100
Georgetown, TX 78628-4092

Fax (512) 233-2751

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1190401 (TX)

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

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About NPI 1316746530

Philip Southern, APRN, PMHNP-BC's National Provider Identifier is 1316746530, issued on Mar 10, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Georgetown, TX. The record was last updated on Mar 10, 2025.