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NPI Code Detail

MEDICARE: DANIEL GERARD JEMISON PMHNP-BC

MEDICARE: DANIEL GERARD JEMISON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1045742TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner902139MS

General Provider Information

NPI Number : 1699296509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GERARD JEMISON PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 2936
Second Line :
City : SUGAR LAND
State : TX
Zip : 77487-2936
Country : US
Telephone Number : 662-832-2043
Fax Number :
Provider Business Practice Location Address
First Line : 613 MARQUETTE RD
Second Line :
City : BRANDON
State : MS
Zip : 39042-3038
Country : US
Telephone Number : 601-825-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 04/19/2026

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