OrganizationActive
A Beautiful Mind LLC
NPI 1760921225 · Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1760921225
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Beverly Washington, Owner/Ceo
- License
- 901777 (MS)
Practice location
1856 Smallwood St
Jackson, MS 39212-2521
Phone: (731) 435-1545
Fax: (877) 600-8393
Mailing address
144 Old Orchard Rd
Madison, MS 39110-4713
Registry dates
- Enumerated
- 2017-02-16
- Last updated
- 2017-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.