Organization
MINDFUL MATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNIE EVANS APNP (CO-FOUNDER)
(228) 284-4651
Entity
Organization
Contact information
Practice address
1613 23RD AVENUE, GULFPORT, MS 39501
(228) 284-4651
(228) 284-4636
Mailing address
1613 23RD AVENUE, GULFPORT, MS 39501
(228) 284-4651
(228) 284-4636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901783
MS
Other
Enumeration date
10/06/2016
Last updated
07/21/2022
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