Individual
MRS. JENNIE KAY KNUDTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 383-2384
Mailing address
1106 S LAKE ST, LAKE MILLS, IA 50450-1816
(641) 590-2808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4564
MN
363L00000X
Nurse Practitioner
R195367-7 CNP 4564
MN
Other
Enumeration date
07/28/2016
Last updated
09/29/2020
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