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Organization
CORE PSYCHIATRY INC.
Active
Organization
CORE PSYCHIATRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ERIC BRUNO (PRACTICE ADMINISTRATION)
(901) 446-0226
Entity
Organization
Contact information
Practice address
1011 W POPLAR AVE STE 7, COLLIERVILLE, TN 38017-2577
(901) 446-0226
Mailing address
1011 W POPLAR AVE STE 7, COLLIERVILLE, TN 38017-2577
(901) 446-0226
(901) 422-5409
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
01/13/2021
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