Individual
OLIVIER BERTRAND DJOUMESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
522 W RIVERSIDE AVE STE 5391, SPOKANE, WA 99201-0580
(817) 230-3994
Mailing address
4402 LONGBOURN DR, MANSFIELD, TX 76063-2252
(817) 230-3994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
146076
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61420571
WA
Other
Enumeration date
05/19/2020
Last updated
03/12/2024
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