Individual
JODY MAE ENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1324 5TH ST N, NEW ULM, MN 56073-1514
(507) 217-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F1012176
MN
Other
Enumeration date
09/26/2012
Last updated
01/20/2023
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