Individual provider Active NPI

Dafina J Skinner, DNP, FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1952965642
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903312 Issued in MS
Practice address
104 Woodburn Way
Pearl, MS 39208-8636
Phone
(601) 212-0978
NPI assigned
Apr 28, 2019
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903312 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903312 MS Primary

Addresses

Primary practice location

104 Woodburn Way
Pearl, MS 39208-8636

Mailing address

104 Woodburn Way
Pearl, MS 39208-8636
Phone (601) 212-0978

Other practice location 1

104 Woodburn Way
Pearl, MS 39208-8636
Phone (601) 212-0978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
903312MSMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1952965642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODBURN WAY",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088636",
            "telephone_number": "601-212-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODBURN WAY",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088636",
            "telephone_number": "601-212-0978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Woodburn Way",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392088636",
            "country_code": "US",
            "telephone_number": "601-212-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DAFINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903312",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.