Organization · Type 2 NPI
Provenance Psychiatric Services LLC
Psychiatric/Mental Health Clinical Nurse Specialist · Blairsville, GA
NPI number
1932885530
Active
Practice location
643 Ray Lewis Rd
Blairsville, GA 30512-1439
Fax (877) 930-7732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | None listed |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1932885530
Provenance Psychiatric Services LLC's National Provider Identifier is 1932885530, issued on Jun 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Blairsville, GA. The record was last updated on Mar 19, 2025.