Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Nicole Harwell, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629751300

Mary Nicole Harwell, PMHNP-BC is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2023, 3 years ago. Practices with Imind Mental Health and Wellness LLC, a 7-clinician group and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

65 Murray Guard Dr
Jackson, TN 38305-3628
Phone: (731) 300-0810
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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 34594 (TN)

Record details

NPI number1629751300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imind Mental Health And Wellness Llc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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