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NPI Code Detail

MEDICARE: VIRGINIA LEE MASON PMHNP-C

MEDICARE: VIRGINIA LEE MASON PMHNP-C
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 Practitioner209546LA

General Provider Information

NPI Number : 1710824073
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA LEE MASON PMHNP-C
Provider Business Mailing Address
First Line : 1505 N FLORIDA ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-1544
Country : US
Telephone Number : 985-900-1626
Fax Number :
Provider Business Practice Location Address
First Line : 1505 N FLORIDA ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-1544
Country : US
Telephone Number : 985-900-1626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ VIRGINIA LEE MASON PMHNP-C” Practice Location

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