Organization
ELEMENTAL BODY & MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAVEN RN APRN HAVEN APRN (OWNER)
(812) 408-3674
Entity
Organization
Contact information
Practice address
201 E MARKET ST STE 3, JEFFERSONVILLE, IN 47130-3362
(812) 408-3674
(812) 407-8126
Mailing address
201 E MARKET ST STE 3, JEFFERSONVILLE, IN 47130-3362
(812) 408-3674
(812) 407-8126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376258418
—
IN
05
—
1841852118
—
IN
Enumeration date
11/22/2024
Last updated
04/10/2026
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