Individual
KAITLYN NICOL JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
(612) 238-3534
Mailing address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13693
MN
Other
Enumeration date
09/09/2022
Last updated
07/07/2025
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