Individual
MS. JACQUELINE SUE PAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
400 VILLAGE CENTER DR STE 800, NORTH OAKS, MN 55127-7201
(651) 276-8346
(651) 765-8351
Mailing address
400 VILLAGE CENTER DR STE 800, NORTH OAKS, MN 55127-7201
(651) 276-8346
(651) 765-8351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 147242-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 147242-0
MN STATE NURSING LICENSE
MN
Enumeration date
08/09/2007
Last updated
08/09/2007
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