Mercygrace Mental Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MERCYGRACE MENTAL WELLNESS PLLC

Practice address

1301 E Debbie LN
Mansfield, TX 76063-3305

Phone

(817) 939-0471

NPI assigned

Jul 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olufunke M Jinadu, NP

Title

Owner

Phone

(817) 939-0471

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1861179657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305",
            "telephone_number": "817-939-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305",
            "telephone_number": "817-939-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYGRACE MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "JINADU",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-939-0471",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Anis Memon, M.D.
• Fannielyn Mendoza
• Corey Menou, DDS
• Merchant Medical Delivery Inc.
• Mercy'S Touch Physical Therapy and Wellness LLC
• Emily Ann Merrell, M.S. CCC-SLP
• P'Jay Merrell, DDS
• Merrigood Home Care LLC
• Consuela Metcalf, COTA/L
• Methodist Hospitals of Dallas

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.