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Organization

OMNI COMMUNITY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITZIE JENKINS DNP (PSYCHIATRIC NURSE PRACTITIONER)
(601) 616-4275
Entity
Organization

Contact information

Practice address
1407 UNION AVE, SUITE 100, MEMPHIS, TN 38104-3627
(615) 726-3603
Mailing address
7124 FARMHOUSE DR, MEMPHIS, TN 38125-4504
(601) 616-4275

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20825
TN

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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