NPI Code Details Logo

NPI 1730084898

NPI 1730084898 : PEACE OF MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC : LOCKPORT, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730084898
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PEACE OF MIND NURSE PRACTITIONER IN PSYCHIATRY PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/09/2026
-----------------------------------------------------
    Last Update Date     |    10/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    12 SOUTH ST 
-----------------------------------------------------
    City                 |    LOCKPORT
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14094-4412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    716-727-0099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12 SOUTH ST 
-----------------------------------------------------
    City                 |    LOCKPORT
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14094-4412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    716-216-5368
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SHERYL  CAMPBELL-JULIEN 
-----------------------------------------------------
    Credential           |    NP
-----------------------------------------------------
    Telephone            |    716-216-5368
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.