Organization
SELF CARE PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRI R SELF PMHNP (OWNER)
(575) 693-5479
Entity
Organization
Contact information
Practice address
2117 ENLOE DR, CLOVIS, NM 88101-8657
(575) 693-5479
Mailing address
2117 ENLOE DR, CLOVIS, NM 88101-8657
(575) 693-5479
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144005224
NPPES
NM
Enumeration date
09/19/2023
Last updated
10/03/2023
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