DR. TWILA WORLOCK DNP PMHNP NPI 1871531616

NPI Information

NPI: 1871531616
Provider Name: DR. TWILA WORLOCK, DNP PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
708 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 541-7070
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DR. Twila Worlock, DNP PMHNP is a psychiatric/mental health nurse practitioner in Jackson, TN. DR. Twila Worlock, DNP PMHNP NPI is 1871531616. 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:

708 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 541-7070
Fax: (731) 541-7075

The NPI 1871531616 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/30/2018.

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	367500000X	Nurse Anesthetist, Certified Registered		104755	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60868627	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3633676	MEDICAID	TENNESSEE
2	P00216880	OTHER		RAILROAD MEDICARE
3	4089638	OTHER	TENNESSEE	BLUE CROSS
4	03470247	MEDICAID	MISSISSIPPI

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: 11/14/2023

NPI Synchronization or Removal

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