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Toni L Ladner, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Vicksburg, Mississippi
NPI 1922374057

Toni L Ladner is a Psychiatric/Mental Health Nurse Practitioner based in Gulfport, MS and is specialized in Psychiatric/Mental Health. Toni L Ladner practices in Vicksburg, MS and has the professional credentials of PMHNP-BC. The NPI Number for Toni L Ladner is 1922374057 and holds a License No. R850484 (Mississippi).

The current practice location address for Toni L Ladner is 1911 Mission 66 Ste B, Vicksburg, MS and can be reached out via phone at 601-665-4162 and via fax at 855-830-3484. You can also correspond with Toni L Ladner through the mailing address at 1600 BROAD AVE, GULFPORT, MS - 39501-3603 (mailing address contact number: 228-863-1132).

Location: 1911 Mission 66 Ste B, Vicksburg, MS, 39501-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922374057
Provider Name
Toni L Ladner
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1911 Mission 66 Ste B, Vicksburg, MS, 39501-3603
Phone Number
601-665-4162
Fax Number
855-830-3484
Provider Enumeration Date
03/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01583061 05 MS
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1911 Mission 66 Ste B
City
Vicksburg
State
Mississippi
Zip
39180-3762
Phone Number
601-665-4162
Fax Number
855-830-3484
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
Gulfport
State
Mississippi
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
850484 (Mississippi)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
R850484 (Mississippi)
Definition
Definition to come...
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