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MRS. EBONY HUMPHERY PMHNP-BC
NPI 1033844204
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Active since July 20, 2022
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Mar 6, 2023, Jul 20, 2022 (3 updates tracked since 2022).

About Mrs. Ebony Humphery Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EBONY HUMPHERY PMHNP-BC (NPI 1033844204) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (905452) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1033844204
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. EBONY HUMPHERYCredential: PMHNP-BC
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2400
Phone(601) 321-2400
Sole ProprietorNo
Enumeration DateJuly 20, 2022
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1033844204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 905452
3450 HIGHWAY 80 W, Jackson, MS 39209
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
TERINEI LOREL ANDREWS REGISTERED NURSE
Registered Nurse (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Humphery's NPI number?

The NPI number for Ebony Humphery is 1033844204. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Ebony Humphery located?

Ebony Humphery practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.

What is Ebony Humphery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ebony Humphery was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.