Individual
JENNIFER LEIGH VAUPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 S 4TH ST RM 510, MINNEAPOLIS, MN 55415-1321
(612) 673-5305
Mailing address
250 S 4TH ST RM 510, MINNEAPOLIS, MN 55415-1321
(612) 673-5305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA030501
DC
Other
Enumeration date
10/01/2007
Last updated
11/18/2021
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