Individual
JENNIFER DEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2136
Mailing address
602 SELFRIDGE DR, DULUTH, MN 55811-5935
(218) 722-6928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R137433-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011638600
—
MN
Enumeration date
10/10/2005
Last updated
02/05/2016
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