NPI 1073255055

Provisions2live Behavioral Health PLLC

Organisation Psychiatric/Mental Health Clinical Nurse Specialist Durham, NC

Practice location

Address: 3622 Lyckan Pkwy STE 4006, Durham, NC 27707-2566
Phone: (919) 390-1398
Fax: (919) 910-5668

Authorised official

Name: Jennifer Inez McLean-Russ
Title: Pmh-Np
Phone: (919) 390-1398

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X

Other Clinical Nurse Specialist providers in North Carolina →

Registry record

NPI: 1073255055
Entity type: Organization
NPI issued: 11 Apr 2022
Record last updated: 20 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.