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Organization
PRACTITIONER PSYCHIATRIC SERVICES
Active
Organization
PRACTITIONER PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA PLAUCHE RN (OWNER)
(228) 865-1330
Entity
Organization
Contact information
Practice address
180 DEBUYS RD, BILOXI, MS 39531-4402
(228) 865-1330
Mailing address
PO BOX 6734, GULFPORT, MS 39506-6734
(228) 865-1330
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
02/04/2022
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