Organization
MINDFUL KEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER GRAVENISH PMHNP (OWNER/OPERATOR)
(712) 221-0684
Entity
Organization
Contact information
Practice address
930 W BLUFF ST, CHEROKEE, IA 51012-1531
(712) 221-0684
Mailing address
930 W BLUFF ST, CHEROKEE, IA 51012-1531
(712) 221-0684
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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