Charlene Davis King in Port Gibson - Psychiatric/mental Health
Charlene Davis King - NPI 1104851161
Charlene Davis King is a Psychiatric/mental Health in Port Gibson, Mississippi. Charlene Davis King practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Charlene Davis King is 1104851161. The last update date is 2016-01-22.
Charlene Davis King's current location address is 713 Farmer St, Port Gibson, Mississippi. You can contact this provider via phone number 6014485176 and fax number 6014485197. The mailing address for Charlene Davis King is 713 Farmer St, Port Gibson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Davis King |
|---|---|
| Address | 713 Farmer St, Port Gibson, Mississippi |
| Phone Number | 6014485176 |
| Fax Number | 6014485197 |
| Sole Proprietor | Y |
| Credentials | DNP, FPMHN |
NPI Number Detail
| NPI Number | 1104851161 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2016-01-22 |
Provider Mailing Address Detail
| Address | 713 Farmer St |
|---|---|
| City | Port Gibson |
| State | Mississippi (MS) |
| Post Code | 391502319 |
| Phone Number | 6014485176 |
| Fax Number | 6014485197 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | R839684 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5207250 | MS | -- | |
| 455325 | MS | MEDICARE PTAN |
Post Comment/ Review Below
What is the Charlene Davis King's 1104851161?
The Charlene Davis King's NPI (National Provider Identifier) Number is 1104851161. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charlene Davis King is geographically located?
The Charlene Davis King is physically situated at the following location: 713 Farmer St, Port Gibson, MS, 391502319.
What is Charlene Davis King's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charlene Davis King is Psychiatric/mental Health, and the taxonomy code that categorizes this field of expertise is 363Lp0808X.
On what date did the Charlene Davis King receive its 1104851161 assignment from the Centers for Medicare & Medicaid Services?
The Charlene Davis King was assigned its 1104851161 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information regarding Charlene Davis King, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charlene Davis King, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-01-22.