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Individual

KATHERINE M RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APMHNP, FNP

Contact information

Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209
(601) 321-2400
(601) 321-2476
Mailing address
P.O. BOX 7777, JACKSON, MS 39284
(601) 321-2400
(601) 321-2476

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R851180
MS
363LF0000X
Family Nurse Practitioner
R851180
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R851180
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09153868
MS
Enumeration date
07/01/2006
Last updated
03/20/2026
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