Jessica Nichole Black
NPI #1053161430 in Choctaw, Mississippi
Provider Information
- NPI Number
- 1053161430
- Entity Type
- Individual
- Name
- Jessica Nichole Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Enumeration Date
- Mar 26, 2024
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 210 HOSPITAL CIR
- City
- Choctaw
- State
- Mississippi
- ZIP Code
- 39350-6781
- Phone
- (601) 389-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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