Individual
JILL TITZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 400-3628
(763) 342-4183
Mailing address
3500 FRANCE AVE N STE 200, ROBBINSDALE, MN 55422-2809
(763) 581-5678
(763) 581-9401
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 3022
MN
Other
Enumeration date
08/10/2010
Last updated
12/18/2023
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