Organization · Type 2 NPI
Primary and Behavioral Healthcare Services, PA
Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
NPI number
1710545488
Active
Practice location
717 E. Fortification St.
Jackson, MS 39202-2402
Fax (769) 572-4021
Other practice locations
- 2252 Tower Dr Ste 108, Monroe, LA 71201-5765 · (769) 572-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Jackson
About NPI 1710545488
Primary and Behavioral Healthcare Services, PA's National Provider Identifier is 1710545488, issued on May 29, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, MS. The record was last updated on Oct 4, 2024.