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Individual
MS. TALISYN JESSICA FLAGG
Active
Individual
MS. TALISYN JESSICA FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
112886
NE
363LW0102X
Women's Health Nurse Practitioner
3291
MN
363LW0102X
Women's Health Nurse Practitioner
CP001223
SD
363LW0102X
Women's Health Nurse Practitioner
F155090
IA
363LW0102X
Women's Health Nurse Practitioner
R444428
ND
367A00000X
Advanced Practice Midwife
Primary
213
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41255400
—
WI
05
—
620980700
—
MN
Enumeration date
11/29/2005
Last updated
03/13/2023
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