Collietta C Bassett
NPI #1063976983 in Hernando, Mississippi
Provider Information
- NPI Number
- 1063976983
- Entity Type
- Individual
- Name
- Collietta C Bassett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 24, 2019
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 2555 CAFFEY ST
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632-2116
- Phone
- (901) 351-0962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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