Organization
RADIANT JOURNEY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JAPPAH NURSE PRACTITIONER (CEO)
(763) 229-4135
Entity
Organization
Contact information
Practice address
13691 BALSAM LN N STE C, DAYTON, MN 55327-6901
(763) 299-4135
Mailing address
13691 BALSAM LN N STE C, DAYTON, MN 55327-6901
(763) 299-4135
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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