Basic Information
| Provider Information | |||||||||
| NPI: | 1467480079 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BASS | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MS, PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18A REGENT PARK BLVD | ||||||||
| Address2: | CAROLINA OUTREACH | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285051762 | ||||||||
| FaxNumber: | 8285051763 | ||||||||
| Practice Location | |||||||||
| Address1: | ONE OAK PLAZA, SUITE 206 | ||||||||
| Address2: | SKYLAND BEHAVIORAL HEALTH ASSOCIATES | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282522501 | ||||||||
| FaxNumber: | 8282522701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 09/16/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 260091 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.