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Organization
NORTHERN LIGHTS PSYCHIATRIC SERVICES, PLLC
Active
Organization
NORTHERN LIGHTS PSYCHIATRIC SERVICES, PLLC
Active
Other names
Waking Souls, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMEE ANN KUDRLE APRN (OWNER)
(573) 590-0267
Entity
Organization
Contact information
Practice address
1826 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(573) 590-0267
Mailing address
21298 STATE HIGHWAY 60, EAGLE LAKE, MN 56024-4494
(507) 201-9445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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