Provider Demographics
NPI:1659834455
Name:MENSAH, JEMIMA (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JEMIMA
Middle Name:
Last Name:MENSAH
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2615 MEDICAL CENTER PKWY
Mailing Address - Street 2:STE 1560
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3758
Mailing Address - Country:US
Mailing Address - Phone:615-751-0347
Mailing Address - Fax:615-249-5162
Practice Address - Street 1:433 NISSAN DR STE 301
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167
Practice Address - Country:US
Practice Address - Phone:615-751-0347
Practice Address - Fax:615-249-5162
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN25761363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ049303Medicaid