PEARL EZEGRIM PMHNP-BC NPI 1972054716

NPI Information

NPI: 1972054716
Provider Name: PEARL EZEGRIM, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
743 BRICK ROW DR APT 1224
RICHARDSON, TX
ZIP 75081
Phone: (847) 693-6582
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Pearl Ezegrim, PMHNP-BC is a psychiatric/mental health nurse practitioner in Richardson, TX with 3 years of experience. Pearl Ezegrim, PMHNP-BC NPI is 1972054716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

743 BRICK ROW DR APT 1224
RICHARDSON, TX
ZIP 75081-980
Phone: (847) 693-6582

The NPI 1972054716 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 10/17/2016 and was last updated on 8/2/2022.

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	163W00000X	Registered Nurse		896510	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1088688	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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