Raines, Katherine M

Raines, Katherine M is an individual health care provider with primary practice located at 2500 North State Street Department Of Psychiatry And Human Behavior, Jackson MS 39216-4505. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Raines, Katherine M can be contacted via phone (601) 814-5815.

Contact Information

Primary practice address
2500 North State Street Department Of Psychiatry And Human Behavior Jackson MS 39216-4505
Phone: (601) 814-5815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R851180 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R851180 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R851180 Mississippi

Profile Details

NPI number 1588693634
LBN Legal business name Raines, Katherine M
Credentials APMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Nov 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588693634 NPPES
Mississippi MEDICAID 09153868

Popular Providers