Individual
JENNIFER MINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
693805
NY
163W00000X
Registered Nurse
778995
CA
363LP0200X
Pediatric Nurse Practitioner
382730
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95009113
CA
Other
Enumeration date
06/26/2016
Last updated
08/02/2023
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