Countryside Psychiatry, Pllc
NPI #1457142895 in Vinita, Oklahoma
Provider Information
- NPI Number
- 1457142895
- Entity Type
- Organization
- Organization Name
- Countryside Psychiatry, Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 15, 2025
- Last Updated
- Jun 13, 2025
Practice Location
Authorized Official
- Name
- MR. JONATHAN W POOLER, APRN-CNP, PMHNP-BC
- Title
- OWNER
- Phone
- (539) 937-1715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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