MINDFUL MEDICINE 360 NPI 1912722554

NPI Information

  • NPI: 1912722554
  • Provider Name: MINDFUL MEDICINE 360
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 4403 1ST AVE SE STE 220
    CEDAR RAPIDS, IA
    ZIP 52402
  • Phone: (319) 900-4525

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NPI Details

MINDFUL MEDICINE 360 is a psychiatric/mental health nurse practitioner in Cedar Rapids, IA. MINDFUL MEDICINE 360 NPI is 1912722554. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

4403 1ST AVE SE STE 220
CEDAR RAPIDS, IA
ZIP 52402-221
Phone: (319) 900-4525

The provider's authorized official is Jeanne Marie Fournier .
The authorized official title is Psychiatric Np and has the following contact phone number (319) 693-1569.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 4/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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