Individual
JESSICA AMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2355 HIGHWAY 36 W, ROSEVILLE, MN 55113-3902
(763) 421-1993
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(763) 412-1993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
42821
ID
363LF0000X
Family Nurse Practitioner
Primary
70265
ID
Other
Enumeration date
09/24/2021
Last updated
10/25/2021
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