Organization
TELEHEALTHONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTPHER B POWE ACNP-BC, PH.D. (CHIEF OPERATING OFFICER)
(601) 859-4342
Entity
Organization
Contact information
Practice address
225 MEADOWBROOK ROAD, JACKSON, MS 39206
(601) 859-4342
(844) 965-9592
Mailing address
152 WATFORD PARKWAY, SUITE 202, CANTON, MS 39046-7900
(601) 859-4342
(844) 965-9592
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525567
—
MS
Enumeration date
05/23/2016
Last updated
05/23/2016
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