Peyton Lovelace
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mendenhall, MS
NPI 1497586366 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1497586366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 906804 (MS)
- Practice address
- 1827 Simpson Highway 149 Ste C
Mendenhall, MS 39114-3439 - Phone
- (601) 847-2424
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906804 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 906804 | MS | Yes |
Addresses
Primary practice location
1827 Simpson Highway 149 Ste C
Mendenhall, MS 39114-3439
Mailing address
1827 Simpson Highway 149 Ste C
Mendenhall, MS 39114-3439
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- Shelley S Leach
- Leanna Maddox
- Shenika Magee
- Maison de Jorice LLC. Dba/ Allure Health
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All providers in Mendenhall, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.