Individual
MS. NOELLE JESSICA NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002070
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30338271
—
NH
Enumeration date
02/26/2008
Last updated
05/23/2012
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