Individual
JENNA MELDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
102 MANDAN AVE, MANDAN, ND 58554-3771
(701) 667-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36592
ND
Other
Enumeration date
06/20/2016
Last updated
11/05/2019
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