Organization
ARISE HERNANDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HOWELL (CHIEF REVENUE OFFICER)
(662) 205-5999
Entity
Organization
Contact information
Practice address
1288 BYHALIA RD STE 4, HERNANDO, MS 38632-6032
(662) 432-4106
Mailing address
PO BOX 7058, TUPELO, MS 38802-7058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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