Organization · Type 2 NPI
Jackson Psychiatry Group
Psychiatric/Mental Health Nurse Practitioner · Ridgeland, MS
NPI number
1790087393
Active
Practice location
201 Northlake Ave
Ridgeland, MS 39157-1715
Fax (601) 414-9486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Ridgeland
About NPI 1790087393
Jackson Psychiatry Group's National Provider Identifier is 1790087393, issued on Dec 2, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ridgeland, MS. The record was last updated on Jun 19, 2025.