Individual provider · Type 1 NPI

Keiella Butler, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Jackson, MS

NPI number 1821501388 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209

Other practice locations

  • 1059 Ridgewood Pl, Jackson, MS 39211-2018 · (601) 957-3211
  • 1059 Ridgewood Pl, Jackson, MS 39211-2018 · (601) 957-3211

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X902338 (MS)

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

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About NPI 1821501388

Keiella Butler, PMHNP-BC's National Provider Identifier is 1821501388, issued on Nov 7, 2017. 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 Sep 20, 2019.