Individual
CHARLES NICKOLAS BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN
Contact information
Practice address
545 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
(601) 833-5255
Mailing address
545 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
(601) 833-5255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
918627
MS
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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