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Individual

JENNIFER MARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4713
MN
364SP0200X
Pediatric Clinical Nurse Specialist
C145251
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C145251
ADVANCED REGISTERED NURSE PRACTITIONER NUMBER
IA
01
CNP 4713
ADVANCED PRACTICE REGISTERED NURSE NUMBER
MN
Enumeration date
09/14/2016
Last updated
03/17/2018
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