JACKLINE MONYANGI MORIASI MSN PMHNP-BC NPI 1326761842

NPI Information

NPI: 1326761842
Provider Name: JACKLINE MONYANGI MORIASI, MSN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN
ZIP 55430
Phone: (763) 503-8560
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Jackline Monyangi Moriasi, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Brooklyn Center, MN with 2 years of experience. Jackline Monyangi Moriasi, MSN, PMHNP-BC NPI is 1326761842. 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:

6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN
ZIP 55430-155
Phone: (763) 503-8560
Fax: (763) 503-8563

The NPI 1326761842 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 9/20/2022 and was last updated on 6/22/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10108	MINNESOTA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN312890	GEORGIA	No
3	163W00000X	Registered Nurse		1699478	MINNESOTA	No

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: 5/5/2024

NPI Synchronization or Removal

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