Individual
MRS. JESSICA LYNN MCADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-8383
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(701) 388-4455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2274
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2018
Last updated
01/15/2019
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