Organization
MINDFULMEDICINEPLLC
Active
Other names
Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI M KILLILEA NURSE PRACTITIONER (CEO)
(719) 761-2985
Entity
Organization
Contact information
Practice address
1411 YELLOW GRANITE WAY, MONUMENT, CO 80132-7452
(719) 761-2985
Mailing address
1411 YELLOW GRANITE WAY, MONUMENT, CO 80132-7452
(719) 761-2985
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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