Individual provider · Type 1 NPI
Kimberly C. Bourassa, DNP, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Shakopee, MN
NPI number
1104590660
Active
Practice location
327 Marschall Rd Ste 250
Shakopee, MN 55379-2666
Other practice locations
- 3460 Washington Dr, Eagan, MN 55122-1338 · (651) 769-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9071 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1104590660
Kimberly C. Bourassa, DNP, APRN, PMHNP-BC's National Provider Identifier is 1104590660, issued on Aug 6, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shakopee, MN. The record was last updated on May 6, 2026.