Organization
NURTURE MENTAL HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LUNGELOW APRN PMHNP-BC (PMHNP)
(910) 502-3787
Entity
Organization
Contact information
Practice address
125 S KING ST STE 2A, JACKSON, WY 83001-8124
(910) 502-3787
Mailing address
PO BOX 1045, JACKSON, WY 83001-1045
(919) 897-7821
(919) 551-7458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
03/11/2025
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