MITSI TONETTE LONG PMHNP NPI 1740801752

NPI Information

  • NPI: 1740801752
  • Provider Name: MITSI TONETTE LONG, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 3341 YOUREE DR STE 205
    SHREVEPORT, LA
    ZIP 71105
  • Phone: (318) 219-4167

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NPI Details

Mitsi Tonette Long, PMHNP is a psychiatric/mental health nurse practitioner in Shreveport, LA. Mitsi Tonette Long, PMHNP NPI is 1740801752. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3341 YOUREE DR STE 205
SHREVEPORT, LA
ZIP 71105-149
Phone: (318) 219-4167

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.

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 Health210781LOUISIANAYes

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

NPI Synchronization or Removal

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