MS. GRACIE MAE ADKISSON PMHNP-BC NPI 1063799856

NPI Information

  • NPI: 1063799856
  • Provider Name: MS. GRACIE MAE ADKISSON, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2301 PECAN ST
    TEXARKANA, AR
    ZIP 71854
  • Phone: (903) 278-5906

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NPI Details

MS. Gracie Mae Adkisson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Texarkana, AR. MS. Gracie Mae Adkisson, PMHNP-BC NPI is 1063799856. 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:

2301 PECAN ST
TEXARKANA, AR
ZIP 71854-656
Phone: (903) 278-5906

The NPI 1063799856 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 11/8/2011 and was last updated on 5/24/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP126190TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health0024177015VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP4254ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP126190OTHERTEXASSTATE LICENSE NUMBER

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: 11/21/2025

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