KEIELLA BUTLER PMHNP-BC NPI 1821501388

NPI Information

NPI: 1821501388
Provider Name: KEIELLA BUTLER, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3450 HIGHWAY 80 W
JACKSON, MS
ZIP 39209
Phone: (601) 321-2400
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Keiella Butler, PMHNP-BC is a psychiatric/mental health nurse practitioner in Jackson, MS. Keiella Butler, PMHNP-BC NPI is 1821501388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3450 HIGHWAY 80 W
JACKSON, MS
ZIP 39209
Phone: (601) 321-2400

The enumeration date for this NPI number is 11/7/2017 and was last updated on 9/20/2019.

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	902338	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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