A BEAUTIFUL MIND LLC NPI 1760921225

NPI Information

  • NPI: 1760921225
  • Provider Name: A BEAUTIFUL MIND LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1856 SMALLWOOD ST
    JACKSON, MS
    ZIP 39212
  • Phone: (731) 435-1545

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NPI Details

A BEAUTIFUL MIND LLC is a psychiatric/mental health nurse practitioner in Jackson, MS. A BEAUTIFUL MIND LLC NPI is 1760921225. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1856 SMALLWOOD ST
JACKSON, MS
ZIP 39212-521
Phone: (731) 435-1545
Fax: (877) 600-8393

The provider's authorized official is Beverly Carson Washington .
The authorized official title is Owner/ceo and has the following contact phone number (601) 953-7780.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 2/16/2017.

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 Health901777MISSISSIPPIYes

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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