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MRS. CHARLENE DAVIS KING DNP, FPMHNP-BC
NPI 1104851161
Nurse Practitioner - Psychiatric/Mental Health in Port Gibson, MS

Active since July 11, 2006
713 FARMER ST, PORT GIBSON, MS 39150(601) 448-5176(601) 448-5197 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2016, Nov 12, 2015 (2 updates tracked since 2015).

About Mrs. Charlene Davis King Dnp, Fpmhnp-bc NPPES

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

MRS. CHARLENE DAVIS KING DNP, FPMHNP-BC (NPI 1104851161) is an individual psychiatric/mental health provider in Port Gibson, Mississippi, licensed in Mississippi (R839684) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104851161
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CHARLENE DAVIS KINGCredential: DNP, FPMHNP-BC
Location Address713 FARMER STPort Gibson, MS 39150-2319
Mailing Address713 Farmer StPort Gibson, MS 39150-2319 · (601) 448-5176 · Fax (601) 448-5197
Phone(601) 448-5176
Fax(601) 448-5197
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 22, 20162 updates tracked since enumeration
✔ NPI 1104851161 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 · R839684
713 FARMER ST, Port Gibson, MS 39150
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Other Identifiers 3

Other455325MS · Medicare Ptan
Medicare PIN350074ZR02MS
Medicaid05207250MS

Other Providers at the Same Location NPPES

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

KINGS PSYCHIATRIC SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
713 FARMER ST
PORT GIBSON, MS 39150
Claiborne County (601) 448-5176

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 Charlene King's NPI number?

The NPI number for Charlene King is 1104851161. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Charlene King located?

Charlene King practices at 713 Farmer St, Port Gibson, MS 39150. The listed phone number is (601) 448-5176.

What is Charlene King'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 Charlene King was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.