Individual
MRS. JESSICA MARY WAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-164801-8
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
1296
MN
Other
Enumeration date
07/29/2009
Last updated
05/04/2026
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