| NPI | 1083321400 |
|---|---|
| Former Legal Business Name | HOPE MENTAL WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN HOPE Sole Proprietor/Practitioner 541-236-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-08-31 |