OLIVIA JANE BALL PMHNP-BC NPI 1588208094

NPI Information

  • NPI: 1588208094
  • Provider Name: OLIVIA JANE BALL, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 340 STATELINE RD W
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 579-3955

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NPI Details

Olivia Jane Ball, PMHNP-BC is a psychiatric/mental health nurse practitioner in Southaven, MS. Olivia Jane Ball, PMHNP-BC NPI is 1588208094. 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:

340 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671-610
Phone: (662) 579-3955

The NPI 1588208094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 12/6/2022.

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
1163W00000XRegistered Nurse95043200CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health905353MISSISSIPPINo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95018151CALIFORNIAYes

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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