Individual provider · Type 1 NPI
Pearl Ezegrim, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Richardson, TX
NPI number
1972054716
Active
Practice location
743 Brick Row Dr Apt 1224
Richardson, TX 75081-4980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 896510 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1088688 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972054716
Pearl Ezegrim, PMHNP-BC's National Provider Identifier is 1972054716, issued on Oct 17, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richardson, TX. The record was last updated on Aug 2, 2022.