Susan Knowlton in Gulfport - Psychiatric/mental Health

Susan Knowlton - NPI 1982623393

Susan Knowlton is a Psychiatric/mental Health in Gulfport, Mississippi. Susan Knowlton practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Susan Knowlton is 1982623393. The last update date is 2014-04-16.

Susan Knowlton's current location address is 1600 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288631132 and fax number 2288651700. The mailing address for Susan Knowlton is 1600 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Knowlton
Address 1600 Broad Ave, Gulfport, Mississippi
Phone Number 2288631132
Fax Number 2288651700
Sole Proprietor N
Credentials FPMHNP

NPI Number Detail

NPI Number 1982623393
Provider Enumeration Date 2006-07-18
Last Updated Date 2014-04-16

Provider Mailing Address Detail

Address 1600 Broad Ave
City Gulfport
State Mississippi (MS)
Post Code 395013603
Phone Number 2288631132
Fax Number 2288651700

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No R865348
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18213 MS --
1520708 MS --

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FAQs about Susan Knowlton

What is the Susan Knowlton's unique identification number?

The Susan Knowlton has been assigned the NPI (National Provider Identifier) Number 1982623393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Susan Knowlton?

The Susan Knowlton is physically situated at 1600 Broad Ave, in the city of Gulfport, state of MS, with the postal code 395013603.

What is Susan Knowlton's area of expertise and its corresponding taxonomy classification?

The Susan Knowlton's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 364Sp0808X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1982623393 assigned to Susan Knowlton?

The Susan Knowlton was issued its 1982623393 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Susan Knowlton most recently updated or revised?

The information pertaining to Susan Knowlton, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-16.

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