Individual
ELIZABETH L JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R177174-9
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84129
—
ND
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
07/27/2010
Last updated
04/18/2012
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