Individual
SARAH ELIZABETH JAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3248
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3248
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP2308
MN
363LA2200X
Adult Health Nurse Practitioner
R-179056-8
MN
Other
Enumeration date
02/14/2013
Last updated
03/29/2019
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