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Individual

DR. JANE MUGAMBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
(507) 388-2120
Mailing address
156 SWAN LN, MANKATO, MN 56001-6244

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202004621
MN
363LP2300X
Primary Care Nurse Practitioner
5334
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5334
CERTIFIED NURSE PRACTITIONER
MN
Enumeration date
08/15/2017
Last updated
03/14/2022
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