Individual
JILL MARIE SCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
6516 40TH AVE N, CRYSTAL, MN 55427-1406
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0955773
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412206200
—
MN
Enumeration date
06/06/2006
Last updated
11/07/2023
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