ACADIA HEALTHCARE INC NPI 1710420286

NPI Information

NPI: 1710420286
Provider Name: ACADIA HEALTHCARE INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2699 E ANDY DEVINE
SUITE B
KINGMAN, AZ
ZIP 86401
Phone: (928) 753-7107
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ACADIA HEALTHCARE INC is a family nurse practitioner in Kingman, AZ. ACADIA HEALTHCARE INC NPI is 1710420286. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2699 E ANDY DEVINE
SUITE B
KINGMAN, AZ
ZIP 86401
Phone: (928) 753-7107

The provider's authorized official is Jeri Lynn Brock .
The authorized official title is President and has the following contact phone number (928) 530-4546.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.

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	363LF0000X	Nurse Practitioner	Family	AP7850	ARIZONA	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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