IndividualActive
Jessica Black
NPI 1053161430 · Psychiatric/Mental Health Registered Nurse · Choctaw, MS
Provider details
- NPI number
- 1053161430
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 907371 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
210 Hospital Cir
Choctaw, MS 39350-6781
Phone: (601) 389-4150
Fax: (601) 389-4152
Approximate (ZIP-level) locationGet directions
Mailing address
210 Hospital Cir
Choctaw, MS 39350-6781
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.