Individual
MRS. JENNA LEE MOLLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2934 OAK AVE, SLAYTON, MN 56172-1434
(507) 360-5258
Mailing address
2150 HOSPITAL DR, WINDOM, MN 56101-1287
(507) 831-2400
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
MN
163W00000X
Registered Nurse
2466857
MN
363LF0000X
Family Nurse Practitioner
Primary
11363
MN
Other
Enumeration date
03/08/2023
Last updated
03/28/2024
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