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General NPI Number Information
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NPI Number | 1972425098
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Entity Type | Organization
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Legal Business Name | MIND OVER MATTER MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1935 21ST AVE S STE 310C
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City | NASHVILLE
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State | TN
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Zip | 37212-4079
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Country | US
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Telephone | 615-602-9195
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 21ST AVE S STE 310C
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City | NASHVILLE
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State | TN
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Zip | 37212-4079
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Country | US
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Telephone | 615-602-9195
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MS. MAHOGANY JIMERSON
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Credential | NP
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Telephone | 615-602-9195
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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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