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Organization
PREMIER MENTAL HEALTH SERVICES PLC
Active
Organization
PREMIER MENTAL HEALTH SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARRYD EDWARD MCGUIRE PMHNP (NURSE PRACTITIONER)
(815) 429-7739
Entity
Organization
Contact information
Practice address
137 BLUFF ST RM 1, DUBUQUE, IA 52001-7651
(815) 429-7739
Mailing address
1676 BROOKDALE RD APT 23, NAPERVILLE, IL 60563-0411
(815) 429-7739
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
07/14/2022
Last updated
07/14/2022
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