Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Rebirth PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1457089880

Mind Rebirth PLLC is a Psychiatric/Mental Health Nurse Practitioner in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3923 Ridgedale St
Memphis, TN 38127-4036
Phone: (901) 208-6984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1457089880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Johnson — Nurse Practitioner · (901) 208-6984
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 9, 2022
Mailing address3923 Ridgedale St, Memphis, TN 38127-4036

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