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General NPI Number Information
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NPI Number | 1417823824
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Entity Type | Organization
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Legal Business Name | MINDFUL PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 30 S LOUISIANA ST STE 10
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City | KENNEWICK
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State | WA
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Zip | 99336-9002
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Country | US
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Telephone | 509-401-8384
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Fax | 325-221-6802
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Provider Business Mailing Address
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Address Line | 30 S LOUISIANA ST STE 10
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City | KENNEWICK
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State | WA
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Zip | 99336-9002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | JENNIFER FORDMEIR
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Credential | ARNP
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Telephone | 509-401-8384
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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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