Individual
JESSICA HALEY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R2494303
MN
363LF0000X
Family Nurse Practitioner
8888
MN
367A00000X
Advanced Practice Midwife
Primary
489
MN
Other
Enumeration date
07/15/2019
Last updated
01/07/2025
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