| NPI | 1639802747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA KEYS CEO 601-342-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-03-26 |