Individual
JESSICA L NYHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
606 24TH AVE S, SUITE 400, MINNEAPOLIS, MN 55454-1455
(612) 273-2223
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA, MMC 395, MINNEAPOLIS, MN 55455-0341
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45811
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504146500
—
MN
Enumeration date
01/18/2006
Last updated
05/28/2010
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