PALM OUTPATIENT MENTAL HEALTH SERVICES PLLC NPI 1689313082

NPI Information

NPI: 1689313082
Provider Name: PALM OUTPATIENT MENTAL HEALTH SERVICES, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
7011 PRESTON DR
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 553-0266
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PALM OUTPATIENT MENTAL HEALTH SERVICES, PLLC is a psychiatric/mental health nurse practitioner in Springfield, IL. PALM OUTPATIENT MENTAL HEALTH SERVICES, PLLC NPI is 1689313082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7011 PRESTON DR
SPRINGFIELD, IL
ZIP 62711-310
Phone: (217) 553-0266

The provider's authorized official is Omotola W Danmole-odimayo .
The authorized official title is Psychiatric Apn and has the following contact phone number (217) 553-0266.

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.

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	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
2	251J00000X	Nursing Care		No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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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