Individual
JACINDA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(651) 220-6000
Mailing address
CHILDRENS HOSPITAL BUSINESS OFFICE, 5901 LINCOLN DRIVE, EDINA, MN 55404
(612) 813-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9414
MN
Other
Enumeration date
08/09/2022
Last updated
08/27/2022
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