Individual
JENNIFER L JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP CNM
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R37096
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339223600
—
MN
01
—
500007919
RR MEDICARE
MN
05
—
84131
—
ND
Enumeration date
01/20/2006
Last updated
02/19/2016
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