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

Pure Light Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1932742988

Pure Light Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Olive Branch, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5600 Goodman Rd Ste B
Olive Branch, MS 38654-7002
Phone: (662) 890-7010
Fax: (662) 890-7044
Show map & directions

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 number1932742988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Douglass — Pmhnp · (662) 890-7010
NPI enumeratedOctober 22, 2019
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address5600 Goodman Rd Ste B, Olive Branch, MS 38654-7002

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