Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Midwest Mental Health Clinic PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1861877052

Midwest Mental Health Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner in Fargo, North Dakota. Works from 4 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1122 1st Ave N
Fargo, ND 58102-4604
Phone: (218) 477-1353
Fax: (218) 477-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 — (218) 477-1353
  • 1829 S Broadway Ste 4, Minot, ND 58701-6571 — (218) 477-1353
  • 5306 Ballard Ave Nw Ste 208, Seattle, WA 98107-4366 — (218) 477-1353

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP3899 (MN)

Record details

NPI number1861877052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqualine Gervais — Owner · (218) 477-1353
NPI enumeratedJuly 29, 2015
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address819 30th Ave S Office 206 Suite B, Moorhead, MN 56560

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