Organization
BODY & MIND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHAN HERNANDEZ FLORES APN (MANAGER)
(309) 916-8527
Entity
Organization
Contact information
Practice address
630 WASHINGTON AVE APT 457, BELLEVILLE, NJ 07109-2820
(309) 916-8527
(201) 720-0401
Mailing address
630 WASHINGTON AVE APT 457, BELLEVILLE, NJ 07109-2820
(309) 916-8527
(201) 720-0401
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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