| 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 | |
Mrs. Donna Lynne Alford, NURSE PRACTITIONER Registered Nurse Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721 |