Collietta C Bassett
Collietta C Bassett is a Nurse Practitioner in Hernando, Mississippi. Qualified in 2019, 7 years ago. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Mississippi, Tennessee and West Virginia.
- Years since qualifying
- 7
- Licensed in
- MS, TN, WV
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
2555 Caffey StHernando, MS 38632-2116
Phone: (901) 351-0962
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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 · Licence 903239 (MS) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 25447 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 110891 (WV) |
Record details
| NPI number | 1063976983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 24, 2019 |
| Last updated in NPPES | August 5, 2024 |
| Certification date | August 5, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Ultra Health Llc — 162 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hernando
-
Elizabeth Paige Dougher
220 Oak Tree Dr, Hernando, MS 38632-1196 · (662) 510-8606
-
Mrs. Staci Lea Hudson, PMHNP-BC
2705 Hwy 51 S, Hernando, MS 38632 · (662) 449-1971
-
In Focus Psychiatry LLC
220 Oak Tree Dr, Hernando, MS 38632-1196 · (662) 510-8606
-
Mary Allen Olson, APRN, PMHNP-BC
220 Oak Tree Dr, Hernando, MS 38632-1196 · (662) 510-8606