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Organization
EXPANDED MIND PSYCHIATRY, LLC
Active
Organization
EXPANDED MIND PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA MARIE THOMAS APRN (OWNER)
(435) 862-6689
Entity
Organization
Contact information
Practice address
736 S 900 E STE 203D, SAINT GEORGE, UT 84790-7000
(435) 252-4884
(435) 252-0846
Mailing address
7533 S CENTER VIEW CT STE N, WEST JORDAN, UT 84084-5526
(435) 862-6689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
09/03/2026
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