Individual
JESSICA ANN THOMES PEPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6025 LAKE RD STE 110, WOODBURY, MN 55125
(651) 735-7414
(651) 735-1827
Mailing address
6025 LAKE RD STE 110, WOODBURY, MN 55125-1709
(651) 735-7414
(651) 735-1827
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
61218
MN
207VX0201X
Gynecologic Oncology Physician
Primary
61218
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
06/25/2018
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