Organization
A BEAUTIFUL MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY CARSON WASHINGTON APRN, PHMNP (OWNER/CEO)
(601) 953-7780
Entity
Organization
Contact information
Practice address
1856 SMALLWOOD ST, JACKSON, MS 39212-2521
(731) 435-1545
(877) 600-8393
Mailing address
144 OLD ORCHARD RD, MADISON, MS 39110-4713
(601) 953-7780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901777
MS
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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