Individual
JENNIE GEERTSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
(507) 625-3928
Mailing address
P.O. BOX 8674, 1230 EAST MAIN ST., MANKATO, MN 56002-8674
(507) 625-1811
(507) 625-3928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-139237-7
MN
163WD0400X
Diabetes Educator Registered Nurse
20810133
MN
Other
Enumeration date
12/06/2010
Last updated
10/20/2011
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