person
Mr. Carl H Mangum, PHD,NP,RN
Psychiatric/Mental Health Nurse Practitioner in Jackson, Mississippi
NPI 1447647946

Carl H Mangum is a Psychiatric/Mental Health Nurse Practitioner based in Jackson, MS and is specialized in Psychiatric/Mental Health. Carl H Mangum practices in Jackson, MS and has the professional credentials of PHD,NP,RN. The NPI Number for Carl H Mangum is 1447647946 and holds a License No. 2012015018 (Mississippi).

The current practice location address for Carl H Mangum is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-4128.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1447647946
Provider Name
Carl H Mangum
Credential
PHD,NP,RN
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-815-4128
Fax Number
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-4128
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-4128
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.
2012015018 (Mississippi)
Definition
Definition to come...
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