Individual
MRS. JENNA LEE MOLLEMA
Active
Individual
MRS. JENNA LEE MOLLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
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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