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Organization

PROGRESSING FORWARD MEDICAL & MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE S HYPOLITE (OWNER)
(405) 439-5849
Entity
Organization

Contact information

Practice address
611 OLD AGENCY DR UNIT 134B, SISSETON, SD 57262-7224
(405) 439-5849
Mailing address
611 OLD AGENCY DR UNIT 134B, SISSETON, SD 57262-7224
(405) 439-5849

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/01/2019
Last updated
11/26/2021
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