PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC NPI 1093474074

NPI Information

NPI: 1093474074
Provider Name: PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
611 OLD AGENCY DR
SISSETON, SD
ZIP 57262
Phone: (405) 439-5849
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PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC is a psychiatric/mental health nurse practitioner in Sisseton, SD. PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC NPI is 1093474074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

611 OLD AGENCY DR
SISSETON, SD
ZIP 57262-224
Phone: (405) 439-5849
Fax: (310) 356-0781

The provider's authorized official is Jasmine Shanae Hypolite .
The authorized official title is Owner and has the following contact phone number (405) 439-5849.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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