Individual
JENNIFER L FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102
(651) 220-6705
Mailing address
345 SMITH AVE N BLDG SUITE302, SAINT PAUL, MN 55102-2346
(651) 220-6705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10896
MN
363A00000X
Physician Assistant
1533
MN
363A00000X
Physician Assistant
PA 20221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01105529
RAILROAD MEDICARE
MN
Enumeration date
03/13/2009
Last updated
06/29/2018
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