Individual
DR. JENNEH KOTAY GBEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
4825 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-5147
(763) 496-5708
Mailing address
1007 CREEKWOOD DR N, CHAMPLIN, MN 55316-1648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6866866
MN
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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