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Individual

MS. JENNIFER LIN HERTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3495 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55448-6713
(763) 323-4127
(763) 401-6353
Mailing address
3495 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55448-6713
(202) 715-7900
(202) 544-4393

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209010700
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
5802
MN

Other

Enumeration date
09/17/2013
Last updated
02/15/2024
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