REJUVENATED MINDS PLLC NPI 1588091532

NPI Information

NPI: 1588091532
Provider Name: REJUVENATED MINDS, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3719 BENSON DRIVE
RALEIGH, NC
ZIP 27609
Phone: (919) 800-0757
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REJUVENATED MINDS, PLLC is a psychiatric/mental health nurse practitioner in Raleigh, NC. REJUVENATED MINDS, PLLC NPI is 1588091532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3719 BENSON DRIVE
RALEIGH, NC
ZIP 27609-324
Phone: (919) 800-0757
Fax: (866) 626-1755

The provider's authorized official is Rachell Davis .
The authorized official title is Sole Organizer and has the following contact phone number (919) 800-0757.

The enumeration date for this NPI number is 10/7/2013 and was last updated on 11/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	134272	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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