Individual
JACLYN KAY ENGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6308
Mailing address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6308
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R43170
ND
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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