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General NPI Number Information
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NPI Number | 1588518435
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 218 S THOMAS ST STE 116
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City | TUPELO
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State | MS
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Zip | 38801-5300
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Country | US
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Telephone | 662-322-5192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2072
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City | TUPELO
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State | MS
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Zip | 38803-2072
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Country | US
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Telephone | 662-620-7102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA BARNES
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Credential | PMHNP-BC
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Telephone | 662-401-1120
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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 |
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License Number State |
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