Individual
DR. JAYMIE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-6800
Mailing address
109 MISSISSIPPI DR, MONTICELLO, MN 55362-9386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13241
MN
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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