Richmond, Nisha Lavorian

Richmond, Nisha Lavorian is an sole proprietor health care provider with primary practice located at 1621 W Peace St , Canton MS 39046-9041. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richmond, Nisha Lavorian can be contacted via phone (601) 391-2716.

Contact Information

Primary practice address
1621 W Peace St Canton MS 39046-9041
Phone: (601) 391-2716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP122759 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP122759 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 902315 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902315 Mississippi

Profile Details

NPI number 1407100787
LBN Legal business name Richmond, Nisha Lavorian
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2012
Last updated Jan 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407100787 NPPES
Mississippi MEDICAID 05252761

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