Individual
MS. PENNY BETH TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
26316 ELM RD, PASS CHRISTIAN, MS 39571-8836
(605) 484-1668
Mailing address
26316 ELM RD, PASS CHRISTIAN, MS 39571-8836
(605) 484-1668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905864
MS
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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