MR. CHARLES EDWARD POOLE PMHNP NPI 1205714979

NPI Information

  • NPI: 1205714979
  • Provider Name: MR. CHARLES EDWARD POOLE, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 31300 NORTHWESTERN HWY
    FARMINGTON HILLS, MI
    ZIP 48334
  • Phone: (248) 254-3318

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NPI Details

MR. Charles Edward Poole, PMHNP is a psychiatric/mental health nurse practitioner in Farmington Hills, MI. MR. Charles Edward Poole, PMHNP NPI is 1205714979. 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:

31300 NORTHWESTERN HWY
FARMINGTON HILLS, MI
ZIP 48334-407
Phone: (248) 254-3318

The enumeration date for this NPI number is 8/21/2025 and was last updated on 8/21/2025.

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 Health4704268830MICHIGANYes

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: 3/30/2025

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