Individual
MS. EILEEN A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
15120 COUNTY BARN RD, GULF COAST MENTAL HEALTH CENTER CSU UNIT, GULFPORT, MS 39503-1263
(609) 748-4037
(609) 652-3573
Mailing address
1600 BROAD AVE, GULF COAST MENTAL HEALTH CENTER, GULFPORT, MS 39501-3603
(609) 861-1834
(609) 652-3573
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
891744
MS
Other
Enumeration date
08/03/2006
Last updated
03/05/2020
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