Individual
BARBARA J MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5213
(701) 253-5402
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R18204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19916
—
ND
Enumeration date
07/17/2008
Last updated
08/25/2011
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