Individual
JESSICA MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-9000
(763) 236-9010
Mailing address
PO BOX 206, MINNEAPOLIS, MN 55480-0206
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14348
MN
Other
Enumeration date
06/12/2019
Last updated
04/01/2025
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