Provider Demographics
NPI:1316578438
Name:SPINKS, JAMILA ANNICE (PMHNP)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:ANNICE
Last Name:SPINKS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8821 COLLINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39325-9118
Mailing Address - Country:US
Mailing Address - Phone:601-938-6042
Mailing Address - Fax:
Practice Address - Street 1:823 HIGHWAY 589
Practice Address - Street 2:
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475-4194
Practice Address - Country:US
Practice Address - Phone:601-794-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903767363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health