Individual
JAMIE L BASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN , PMHNP-BC
Contact information
Practice address
1155 FORD RD STE B, ST LOUIS PARK, MN 55426-1115
(952) 378-1800
(952) 378-1714
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8138
MN
Other
Enumeration date
04/20/2021
Last updated
03/23/2023
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