Individual
JESSICA MICHELLE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2121
Mailing address
100 FREEMAN DRIVE, ST PETER, MN 56082
(507) 985-2121
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNP4699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP4699
AMERICAN NURSE'S CREDENTIALING CENTER
MN
Enumeration date
08/28/2016
Last updated
01/07/2021
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