institution
Pure Light Psychiatry Llc
Psychiatric/Mental Health Nurse Practitioner in Olive Branch, Mississippi
NPI 1932742988

Pure Light Psychiatry Llc is a Psychiatric/Mental Health Nurse Practitioner based in Olive Branch, MS and is specialized in Psychiatric/Mental Health. Pure Light Psychiatry Llc practices in Olive Branch, MS. The NPI Number for Pure Light Psychiatry Llc is 1932742988 and holds a License No. (Mississippi).

The current practice location address for Pure Light Psychiatry Llc is 5600 Goodman Rd Ste B, Olive Branch, MS and can be reached out via phone at 662-890-7010 and via fax at 662-890-7044.

Location: 5600 Goodman Rd Ste B, Olive Branch, MS, 38654-7002
institution
Provider Profile Details
NPI Number
1932742988
Provider Name
Pure Light Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
5600 Goodman Rd Ste B, Olive Branch, MS, 38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
Provider Enumeration Date
10/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5600 Goodman Rd Ste B
City
State
Zip
38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
person
Provider Business Mailing Address Details
Address
5600 Goodman Rd Ste B
City
State
Zip
38654-7002
Phone Number
662-890-7010
Fax Number
662-890-7044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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