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JACK HURRELL RN PMHNP-BC NPI 1649577925


NPI Information

NPI: 1649577925
Provider Name: JACK HURRELL, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ANCHOR MENTAL HEALTH ASSOCIATION

PECOS Registration: Yes

Address:
801 PENNSYLVANIA AVE SE
WASHINGTON, DC
ZIP 20003
Phone: (202) 546-1512
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Jack Hurrell, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Washington, DC with 9 years of experience. Jack Hurrell, RN, PMHNP-BC NPI is 1649577925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 PENNSYLVANIA AVE SE
WASHINGTON, DC
ZIP 20003-167
Phone: (202) 546-1512
Fax: (202) 544-5365

The NPI 1649577925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2011 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2163W00000XRegistered Nurse847545CALIFORNIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health95003902CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.