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General NPI Number Information
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NPI Number | 1356204317
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Entity Type | Organization
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Legal Business Name | CULTIVATE JOY PSYCHIATRY LLC
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 3009 TIMBERLANE DR
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City | FORT MADISON
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State | IA
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Zip | 52627-4704
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Country | US
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Telephone | 319-316-3224
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Fax | 319-224-8429
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | FORT MADISON
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State | IA
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Zip | 52627-0506
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Country | US
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Telephone | 319-316-3224
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Fax | 319-224-8429
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | JENNIFER RAE GRIFFITH
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Credential | DNP, PMHNP-BC
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Telephone | 319-316-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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