Individual
JESSICA M ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(970) 494-9761
Mailing address
18657 CLEAR VIEW CT, MINNETONKA, MN 55345-6087
(906) 458-5130
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12580
MN
Other
Enumeration date
08/07/2015
Last updated
03/03/2025
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