SearchMississippi101Y00000X

Edie Nicholson, PCMHT

NPI 1295507879 · on the registry since 2023

Practice

Address
5192 Highway 11 N
Ellisville, MS 39437
Phone
(601) 649-7921
Organisation at this address
Family Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi