Individual
SARA ELIZABETH JENNERJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(651) 254-3500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
400
MN
Other
Enumeration date
07/02/2019
Last updated
06/20/2024
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