Individual
STACEY JO JUMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-8395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R176607-1
MN
Other
Enumeration date
11/29/2006
Last updated
03/30/2022
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