Individual
SHONTEL K PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
2273 S EASON BLVD, TUPELO, MS 38804-5900
(662) 842-2461
Mailing address
110 JUNIPER CT, TUPELO, MS 38801-1203
(662) 251-3676
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
910047
MS
163WM0705X
Medical-Surgical Registered Nurse
910047
MS
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
910047
MS
163WP0808X
Psychiatric/Mental Health Registered Nurse
910047
MS
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
910047
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907021
MS
Other
Enumeration date
09/16/2024
Last updated
11/06/2024
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