Individual
MRS. JENNIFER LEA HODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201
(701) 732-7700
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12448
MN
363A00000X
Physician Assistant
Primary
PAC0688
ND
Other
Enumeration date
06/19/2009
Last updated
11/10/2020
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