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Organization
JACKSON CENTER
Active
Organization
JACKSON CENTER
Active
Other names
The Jackson Center for Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BEN HARRELL (MEMBER)
(901) 647-8291
Entity
Organization
Contact information
Practice address
198 NARROWS DR STE 105, BIRMINGHAM, AL 35242-8663
(901) 647-8291
Mailing address
470 NORTH ST, HERNANDO, MS 38632-1732
(901) 647-8291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
12/13/2022
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