Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICHOLE BLACK
ActiveChild & Adolescent Psychiatric Nurse · CHOCTAW, MS
Registration Details
- NPI Number
- 1053161430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2024 (2.1112267495346 yrs)
- Last Updated
- Mar 26, 2024
- License
-
907371 (MS)
Practice Information
- Address
-
210 HOSPITAL CIRCHOCTAW, MS, 393506781Browse MS providers · Browse ZIP 39350
- Phone
- 6013894150
- Fax
- 6013894152
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.