| NPI | 1326860925 |
|---|---|
| Doing Business As | MIND OVER MATTER HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JASON RUSSELL JOHNSON A RN P 360-423-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |