A BEAUTIFUL MIND LLC NPI 1760921225

NPI Information

NPI: 1760921225
Provider Name: A BEAUTIFUL MIND LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1856 SMALLWOOD ST
JACKSON, MS
ZIP 39212
Phone: (731) 435-1545
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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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	901777	MISSISSIPPI	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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