person
Ms. Gracie Mae Adkisson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Texarkana, Arkansas
NPI 1063799856

Gracie Mae Adkisson is a Psychiatric/Mental Health Nurse Practitioner based in Texarkana, AR and is specialized in Psychiatric/Mental Health. Gracie Mae Adkisson practices in Texarkana, AR and has the professional credentials of PMHNP-BC. The NPI Number for Gracie Mae Adkisson is 1063799856 and holds a License No. AP126190 (Arkansas).

The current practice location address for Gracie Mae Adkisson is 2301 Pecan St, Texarkana, AR and can be reached out via phone at 903-278-5906. You can also correspond with Gracie Mae Adkisson through the mailing address at 5812 MCKNIGHT RD, TEXARKANA, TX - 75503-0960 (mailing address contact number: 903-278-5906).

Location: 2301 Pecan St, Texarkana, AR, 75503-0960
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Provider Profile Details
NPI Number
1063799856
Provider Name
Gracie Mae Adkisson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2301 Pecan St, Texarkana, AR, 75503-0960
Phone Number
903-278-5906
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP126190 01 TX STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2301 Pecan St
City
State
Zip
71854-3656
Phone Number
903-278-5906
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Pecan St
City
State
Zip
71854-3656
Phone Number
903-278-5906
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP126190 (Texas)
Definition
Definition to come...
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