Organization
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Active
Parent organization
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Authorized official
JASMINE SHANAE HYPOLITE-KING CNP (OWNER)
(405) 439-5849
Entity
Organization
Contact information
Practice address
9000 NW 84TH ST, YUKON, OK 73099-8677
(405) 439-5849
(310) 356-0781
Mailing address
9000 NW 84TH ST, YUKON, OK 73099-8677
(405) 439-5849
(310) 356-0781
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2020
Last updated
09/14/2023
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