| NPI | 1912722554 |
|---|---|
| Doing Business As | MM360 |
| Entity Type | Organization |
| Authorized Contact | JEANNE MARIE FOURNIER Psychiatric Np 319-693-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-04-29 |