Individual
JEAN C STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 325-2121
(651) 325-2122
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 325-2121
(651) 325-2122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0921299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745225000
—
MN
Enumeration date
10/20/2006
Last updated
07/01/2015
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