Individual
JENNIFER DART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
9701 DATA PARK, MN006-W600, MINNETONKA, MN 55343-9026
(800) 896-8936
(888) 866-3209
Mailing address
3433 BROADWAY ST NE, STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R162523-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4400003-00
—
MN
Enumeration date
07/26/2006
Last updated
12/20/2019
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