Individual
PRECIOUS LETHIA KUSHA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC NURSE PR
Contact information
Practice address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(901) 505-3958
Mailing address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236021
AR
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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