Organization
JENNIFER WARREN PMHNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WARREN PMHNP-BC (OWNER)
(662) 322-0612
Entity
Organization
Contact information
Practice address
315 MAGAZINE ST STE D, TUPELO, MS 38804-3974
(662) 620-1468
Mailing address
144 S THOMAS ST STE 207, TUPELO, MS 38801-5337
(662) 322-0612
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
04/26/2021
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