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Individual

JESSICA ANNE WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1997 SLOAN PL STE 17, MAPLEWOOD, MN 55117-2051
(651) 772-6251
Mailing address
2280 LAMPLIGHT DR, WOODBURY, MN 55125-1653
(320) 219-3878

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13590
MN

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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