Individual
JARED HARNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3800
(218) 327-2001
Mailing address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3800
(218) 327-2001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-161518-0
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7588
MN
Other
Enumeration date
04/12/2017
Last updated
08/31/2020
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