Individual
JENNIFER ANN DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(423) 488-8468
Mailing address
6039 ADDINGTON DR NW, ACWORTH, GA 30101-7149
(423) 488-8468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN194657
GA
Other
Enumeration date
09/30/2008
Last updated
09/14/2020
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