Hena Arora
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hattiesburg, MS
NPI 1821742289 · NPPES record last updated May 21, 2022
Key facts
- NPI
- 1821742289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905155 (MS)
- Practice address
- 103 S 19TH Ave
Hattiesburg, MS 39401-6171 - Phone
- (601) 544-4641
- NPI assigned
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220626000018 | MS | Practitioner - Nurse Practitioner | 4880073501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905155 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region 12 Commission on Mental Health & Retardation Pine Belt Men | Current |
Accepting new patients | |
| Region 12 Commission on Mental Health and Retardation | Past | Accepting new patients |
Locations
5192 Highway 11 N
Ellisville, MS 39437
Phone (601) 425-3439
103 S 19th Ave
Hattiesburg, MS 39401
Phone (601) 544-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905155 | MS | Yes |
Addresses
Primary practice location
103 S 19TH Ave
Hattiesburg, MS 39401-6171
Mailing address
103 S 19TH Ave
Hattiesburg, MS 39401-6171
Phone (601) 544-4641
Other practice location 1
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone (601) 649-7921
Other practice location 2
3 Clearview Cir
Moselle, MS 39459-9520
Phone (601) 544-1499
Other providers in Hattiesburg, MS
- Jamie Douglas Armstrong
- Tyler Griffin Armstrong
- Randolph Curtis Arnau III
- William R Arnett
- Amber Martin Arnold
- Anna Arrington
- Shaquenna Arrington
- Arthritis Associates, PLLC
- Lindsey Asay
- Kate N Aseme
All providers in Hattiesburg, 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 May 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.