Individual
SHAYLA MARIE JEGTVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
14947 S LAKE OLAF RD, PELICAN RAPIDS, MN 56572-7207
(218) 790-3794
Mailing address
14947 S LAKE OLAF RD, PELICAN RAPIDS, MN 56572-7207
(218) 790-3794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R49458
ND
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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