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Organization
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Active
Organization
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE SHANAE HYPOLITE CNP (OWNER)
(405) 439-5849
Entity
Organization
Contact information
Practice address
611 OLD AGENCY DR, SISSETON, SD 57262-7224
(405) 439-5849
(310) 356-0781
Mailing address
9000 NW 84TH ST, YUKON, OK 73099-8677
(405) 439-5849
(310) 356-0781
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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