Individual
FATIMA S JAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.N.P
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
852 TRENTON LN N, PLYMOUTH, MN 55441-4496
(612) 385-4191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R147005-3
MN
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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