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Organization
KNEW MINDSET LLC
Active
Organization
KNEW MINDSET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALEESA SHEARS DNP, APRN (OWNER)
(870) 559-9144
Entity
Organization
Contact information
Practice address
944 STATE HIGHWAY 77, MARION, AR 72364-9004
(870) 821-0315
Mailing address
PO BOX 1530, MARION, AR 72364-1539
(870) 559-9144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
02/24/2024
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