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Rachel Lorraine Staten, PMHNP

Nurse Practitioner, Psych/Mental Health in Belden, MS. Individual provider (NPI-1).

NPI number1124359229
StatusActive
Last updated in NPPESMar 22, 2012

Details

NPI
1124359229
Entity type
Individual (NPI-1)
Name
Miss Rachel Lorraine Staten
Credential
PMHNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 29, 2010
Last updated
Mar 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthR883957MSYes

Practice location

112 Grand Ole Oaks Dr
Apt # 2
Belden, MS 38826-7014

Phone 662-269-2105

Mailing address

112 Grand Ole Oaks Dr
Apt # 2
Belden, MS 38826-7014

Phone 662-269-2105

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