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Organization
PEAKMIND MENTAL HEALTH & PERFORMANCE WELLNESS, PROFESSIONAL NURSING CORPORATION
Active
Organization
PEAKMIND MENTAL HEALTH & PERFORMANCE WELLNESS, PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DELONG PMHNP (OWNER)
(805) 619-9915
Entity
Organization
Contact information
Practice address
1368 MARSH ST, SAN LUIS OBISPO, CA 93401-3316
(805) 619-9915
Mailing address
1368 MARSH ST, SAN LUIS OBISPO, CA 93401-3316
(805) 619-9915
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
06/20/2026
Last updated
06/20/2026
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