Individual
JACQUELINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(128) 733-0006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5641
MN
363LG0600X
Gerontology Nurse Practitioner
5641
MN
Other
Enumeration date
03/20/2018
Last updated
11/26/2024
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