Individual provider · Type 1 NPI
James Mars Farris, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Champaign, IL
NPI number
1699585372
Active
Practice location
1802 S Mattis Ave
Champaign, IL 61821-5923
Mailing address
611 W Park St, Fapc
Urbana, IL 61801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209030757 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699585372
James Mars Farris, PMHNP's National Provider Identifier is 1699585372, issued on Jan 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Champaign, IL. The record was last updated on May 2, 2025.