Organization
WHOLE MOON HEALING LLC
Active
Other names
Jade Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CONNOR PMHNP (OWNER)
(720) 445-1258
Entity
Organization
Contact information
Practice address
2519 S SHIELDS ST, FORT COLLINS, CO 80526-1855
(970) 235-1112
Mailing address
2519 S SHIELDS ST STE 1K, FORT COLLINS, CO 80526-1855
(970) 235-1112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/16/2025
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