Organization
MINDPLEXITY PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE KRULL APRN (MEDICAL DIRECTOR)
(224) 465-4309
Entity
Organization
Contact information
Practice address
555 S PERRYVILLE RD STE 130, ROCKFORD, IL 61108-2527
(815) 995-2201
Mailing address
1050 COUNTRY CLUB RD UNIT 386, WOODSTOCK, IL 60098-5585
(815) 404-3452
(224) 999-4002
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
09/30/2025
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