Organization
OLIVE BRANCH PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA WASHINGTON PMHNP (OWNER)
(662) 408-4136
Entity
Organization
Contact information
Practice address
6914 AUTUMN OAKS DR STE A, OLIVE BRANCH, MS 38654-9380
(662) 408-4136
(662) 420-7940
Mailing address
6914 AUTUMN OAKS DR STE A, OLIVE BRANCH, MS 38654-9380
(662) 408-4136
(662) 420-7940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
08/04/2020
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