Individual
JENNIFER ELIZABETH SMITH-OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
121 S 8TH ST, SUITE 600, MINNEAPOLIS, MN 55402-2841
(612) 333-4822
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R1374395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478114700
—
MN
Enumeration date
02/09/2006
Last updated
03/23/2021
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