Individual
JAMIE THONGPHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-4750
Mailing address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200267
ND
Other
Enumeration date
08/08/2024
Last updated
08/13/2024
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