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Nisha Lavorian Richmond, FNP-C,PMHNP-BC
Family Nurse Practitioner in Canton, Mississippi
NPI 1407100787

Nisha Lavorian Richmond is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Nisha Lavorian Richmond practices in Canton, MS and has the professional credentials of FNP-C,PMHNP-BC. The NPI Number for Nisha Lavorian Richmond is 1407100787 and holds a License No. AP122759 (Mississippi).

The current practice location address for Nisha Lavorian Richmond is 1621 W Peace St, Canton, MS and can be reached out via phone at 601-391-2716.

Location: 1621 W Peace St, Canton, MS, 39296-5826
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Provider Profile Details
NPI Number
1407100787
Provider Name
Nisha Lavorian Richmond
Credential
FNP-C,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1621 W Peace St, Canton, MS, 39296-5826
Phone Number
601-391-2716
Fax Number
Provider Enumeration Date
11/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05252761 05 MS
institution
Provider Business Practice Location Address Details
Address
1621 W Peace St
City
State
Zip
39046-9041
Phone Number
601-391-2716
Fax Number
person
Provider Business Mailing Address Details
Address
1621 W Peace St
City
State
Zip
39046-9041
Phone Number
601-391-2716
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP122759 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP122759 (Texas)
Definition
Definition to come...
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