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General NPI Number Information
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NPI Number | 1407100787
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Entity Type | Individual
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Provider Name | NISHA LAVORIAN RICHMOND FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1217 NORTH ST
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City | JACKSON
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State | MS
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Zip | 39202-2034
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Country | US
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Telephone | 214-810-2696
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Fax | 631-350-0479
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Provider Business Mailing Address
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Address Line | PO BOX 55826
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City | JACKSON
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State | MS
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Zip | 39296-5826
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Country | US
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Telephone | 704-726-4241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 902315
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP122759
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP07060
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95030097
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902315
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11031906
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122759
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0036142
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 29961
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License Number State | TN
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