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TERESA REJUVENATING PSYCHIATRY PLLC
NPI 1255051066
Nurse Practitioner - Psychiatric/Mental Health in Waco, TX

Active since August 31, 2022
10412 CHINA SPRING RD, WACO, TX 76708(254) 717-3066 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, Aug 31, 2022 (2 updates tracked since 2022).

About Teresa Rejuvenating Psychiatry Pllc NPPES

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

TERESA REJUVENATING PSYCHIATRY PLLC (NPI 1255051066) is a healthcare organization registered as a psychiatric/mental health in Waco, Texas and active in the NPI registry since August 2022. The organization lists Mambo Jingla Ndingwan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255051066
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTERESA REJUVENATING PSYCHIATRY PLLC
Location Address10412 CHINA SPRING RDWaco, TX 76708-5676
Mailing Address10412 China Spring RdWaco, TX 76708-5676 · (409) 356-9778
Phone(254) 717-3066
Organization SubpartNo
Authorized OfficialMambo Jingla NdingwanCeo · (409) 356-9778
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1255051066 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
10412 CHINA SPRING RD, Waco, TX 76708
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PHARMACY PLUS INC
Pharmacy (Community/Retail Pharmacy)
10412 CHINA SPRING RD
WACO, TX 76708
McLennan County (469) 635-2829

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 Teresa Rejuvenating Psychiatry PLLC's NPI number?

The NPI number for Teresa Rejuvenating Psychiatry PLLC is 1255051066. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Teresa Rejuvenating Psychiatry PLLC located?

Teresa Rejuvenating Psychiatry PLLC is located at 10412 China Spring Rd, Waco, TX 76708. The listed phone number is (254) 717-3066.

What is Teresa Rejuvenating Psychiatry PLLC'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 Teresa Rejuvenating Psychiatry PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.