Individual
MRS. JACKIE KAY TEWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1601 SAINT FRANCIS AVE, SUITE 100, SHAKOPEE, MN 55379-3383
(952) 428-3535
Mailing address
7165 OAKRIDGE TRL, SHAKOPEE, MN 55379-5514
(402) 670-4054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206715-1
MN
Other
Enumeration date
08/05/2013
Last updated
03/06/2025
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