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Organization
MIND BODY CONNECT NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization
MIND BODY CONNECT NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEZRA WHITE PMHNP-BC, FNP-BC (PRESIDENT)
(718) 844-2017
Entity
Organization
Contact information
Practice address
442 LORIMER ST STE D5055, BROOKLYN, NY 11206-1030
(646) 718-6938
(929) 990-2842
Mailing address
442 LORIMER ST STE D5055, BROOKLYN, NY 11206-1030
(646) 718-6938
(929) 990-2842
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
05/18/2026
Last updated
05/18/2026
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