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Individual

JENNIFER NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(651) 523-9800
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 523-9800

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP 5012
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP 5012
MN

Other

Enumeration date
02/20/2017
Last updated
02/25/2020
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