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General NPI Number Information
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NPI Number | 1881504884
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Entity Type | Organization
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Legal Business Name | GOOD MOOD INTEGRATIVE PSYCHIATRY PC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1501 S GREELEY HWY STE C
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City | CHEYENNE
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State | WY
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Zip | 82007-3028
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Country | US
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Telephone | 443-963-3487
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE 68345
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 443-963-3487
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Fax | 443-281-5490
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JASMINE M BLUNT
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Credential | DNP, CRNP, PMHNP-BC
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Telephone | 443-963-3487
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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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