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JUANITA IVY PMHNP
NPI 1063384691
Nurse Practitioner - Psychiatric/Mental Health in Oxford, MS

Active since September 23, 2025
102 FRANKLIN ST, OXFORD, MS 38655(662) 607-1388 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita Ivy Pmhnp NPPES

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

JUANITA IVY PMHNP (NPI 1063384691) is an individual psychiatric/mental health provider in Oxford, Mississippi, licensed in Mississippi (907855) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063384691
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUANITA IVYCredential: PMHNP
Location Address102 FRANKLIN STOxford, MS 38655-8166
Mailing Address102 Franklin StOxford, MS 38655-8166 · (662) 607-1388
Phone(662) 607-1388
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1063384691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 907855
Also ListedRegistered NurseTaxonomy 163W00000X · License 900869 (MS)
102 FRANKLIN ST, Oxford, MS 38655
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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 Juanita Ivy's NPI number?

The NPI number for Juanita Ivy is 1063384691. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Juanita Ivy located?

Juanita Ivy practices at 102 Franklin St, Oxford, MS 38655. The listed phone number is (662) 607-1388.

What is Juanita Ivy'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 Juanita Ivy was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.