# PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093474074
- **Authorized official:** JASMINE SHANAE HYPOLITE CNP (OWNER)
- **Authorized official phone:** (405) 439-5849

## Contact information

- **Practice address:** 611 OLD AGENCY DR, SISSETON, SD 57262-7224
- **Practice address phone:** (405) 439-5849
- **Practice address fax:** (310) 356-0781
- **Mailing address:** 9000 NW 84TH ST, YUKON, OK 73099-8677
- **Mailing address phone:** (405) 439-5849
- **Mailing address fax:** (310) 356-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2021
- **Last updated:** 12/17/2021