MRS. LATASHA CLAIBORNE, PMHNP

Registered Nurse

Active Individual
NPI: 1104104413

Practice Address

3444 WISCONSIN AVE
Vicksburg, MS 39180

Phone: (601) 638-0031

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No 904842 (MS)
Registered Nurse 163W00000X Yes 163W00000X (MS)

Frequently Asked Questions

NPI 1104104413 is the National Provider Identifier for MRS. LATASHA CLAIBORNE, PMHNP, a Registered Nurse provider located in Vicksburg, MS. This NPI was enumerated on August 3, 2011.
MRS. LATASHA CLAIBORNE, PMHNP practices at 3444 WISCONSIN AVE, Vicksburg, MS 39180.

Quick Facts

NPI
1104104413
Type
Individual
Enumerated
Aug 3, 2011
Last Updated
Mar 17, 2023

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