# MINDSPIRE

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

## Provider details

- **NPI number:** 1578372272
- **Authorized official:** MRS. JULIE JACOB APN (PMHNP-BC)
- **Authorized official phone:** (732) 200-2421

## Contact information

- **Practice address:** 6 COTTONWOOD CT, EDISON, NJ 08820-1252
- **Practice address phone:** (732) 200-2421
- **Practice address fax:** (704) 839-2454
- **Mailing address:** 6 COTTONWOOD CT, EDISON, NJ 08820-1252
- **Mailing address phone:** (732) 200-2421
- **Mailing address fax:** (704) 839-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 06/29/2025