Provider Demographics
NPI:1497459853
Name:MIND WORKS
Entity Type:Organization
Organization Name:MIND WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DENNING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNP, PMHNP-BC
Authorized Official - Phone:320-318-0098
Mailing Address - Street 1:38868 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-6658
Mailing Address - Country:US
Mailing Address - Phone:320-318-0098
Mailing Address - Fax:612-844-2784
Practice Address - Street 1:38868 12TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MN
Practice Address - Zip Code:55056-6658
Practice Address - Country:US
Practice Address - Phone:320-318-0098
Practice Address - Fax:612-844-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty