Individual
JACLYN HOEFT POSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-3000
Mailing address
8265 NIAGARA LN N, MAPLE GROVE, MN 55311-1542
(651) 442-5258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R2002394
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2105
MN
Other
Enumeration date
06/18/2017
Last updated
10/30/2017
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