| Premier Choice Behavioral Health And Wellness | |
|
1832 Hospital Dr Jackson MS 39204-3410 | |
| (601) 371-8883 | |
| (866) 272-5766 |
| Full Name | Premier Choice Behavioral Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1832 Hospital Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Kimberly Carson (FNP) |
| Authorized Official Contact | 6012180969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Choice Behavioral Health And Wellness Po Box 59147 Jackson MS 39284-9147 Ph: () - | Premier Choice Behavioral Health And Wellness 1832 Hospital Dr Jackson MS 39204-3410 Ph: (601) 371-8883 |
| NPI Number | 1215657937 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 8224404439 |
|---|---|
| Medicare Enrollment ID | O20221013000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215657937 | NPI | - | NPPES |
| Provider Name | Christopher A Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578986915 PECOS PAC ID: 8426376559 Enrollment ID: I20160708000108 |
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