Individual
JASON WILLIAM DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 255-5385
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 255-5385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9426
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2022
Last updated
09/21/2022
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