Jessica Nichole Black, | |
210 Hospital Cir, Choctaw, MS 39350-6781 | |
(601) 389-4150 | |
(601) 389-4152 |
Full Name | Jessica Nichole Black |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 210 Hospital Cir, Choctaw, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053161430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 907371 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica Nichole Black, 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 389-4150 | Jessica Nichole Black, 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 389-4150 |
Tiah Rae York, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4370 Fax: 601-389-4372 | |
Diana Tangle, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721 |