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Organization
PRESTIGE BEHAVIORAL HEALTH PLLC
Active
Organization
PRESTIGE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNN HULM APRN, PMHNP-BC (OWNER)
(972) 835-1112
Entity
Organization
Contact information
Practice address
800 W RENNER RD APT 3216, RICHARDSON, TX 75080-1047
(972) 835-1112
Mailing address
800 W RENNER RD APT 3216, RICHARDSON, TX 75080-1047
(972) 835-1112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2020
Last updated
07/06/2020
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