Organization
NN HORTON PHD MHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY N HORTON PHD (OWNER)
(601) 672-3841
Entity
Organization
Contact information
Practice address
210 W JACKSON ST, RIDGELAND, MS 39157-2312
(601) 672-3841
(601) 707-7291
Mailing address
210 W JACKSON ST, RIDGELAND, MS 39157-2312
(601) 672-3841
(601) 707-7291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144439811
BCBS
MS
Enumeration date
06/28/2019
Last updated
06/28/2019
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