Paula Evette Geeter, RN

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Horn Lake, MS

NPI 1962796540 · NPPES record last updated Jun 1, 2011

Key facts

NPI
1962796540
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
R867365 (MS)
Practice address
4062 Rosebury LN
Horn Lake, MS 38637-7310
Phone
(662) 280-3810
NPI assigned
Jun 1, 2011
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R867365MSMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R867365 MS Yes

Addresses

Primary practice location

4062 Rosebury LN
Horn Lake, MS 38637-7310

Mailing address

4062 Rosebury LN
Horn Lake, MS 38637-7310
Phone (662) 280-3810

Other providers in Horn Lake, MS

All providers in Horn Lake, MS · Adult Psychiatric/Mental Health Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.