Organization · Type 2 NPI
2911 Jeremiah
Psychiatric/Mental Health Nurse Practitioner · Portland, IN
NPI number
1760162523
Active
Practice location
101 Oak St
Portland, IN 47371-3040
Mailing address
PO Box 1034
Fort Ashby, WV 26719-1034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1760162523
2911 Jeremiah's National Provider Identifier is 1760162523, issued on Jul 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, IN. The record was last updated on Dec 20, 2023.