THERESA JANE DEBORD PMHNP-BC NPI 1134772353

NPI Information

NPI: 1134772353
Provider Name: THERESA JANE DEBORD, PMHNP-BC
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
5835 STATE ROUTE 154 # ADDRESS2
PINCKNEYVILLE, IL
ZIP 62274
Phone: (618) 357-9722
Get Directions

Theresa Jane Debord, PMHNP-BC is a psychiatric/mental health registered nurse in Pinckneyville, IL. Theresa Jane Debord, PMHNP-BC NPI is 1134772353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5835 STATE ROUTE 154 # ADDRESS2
PINCKNEYVILLE, IL
ZIP 62274-418
Phone: (618) 357-9722

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	209019229	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »