Organization
JJM INTEGRATIVE HEALTH ADVANCED NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE IVIE PMHNP-BC (SECRETARY)
(707) 628-4140
Entity
Organization
Contact information
Practice address
941 MERCHANT SREET, SUITE A, VACAVILLE, CA 95688
(707) 249-6898
Mailing address
941 MERCHANT ST STE A, VACAVILLE, CA 95688-5315
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
03/24/2025
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