Individual
JESSICA WETTLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 746-7664
Mailing address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 746-7664
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10083
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0998238-NP
CO
Other
Enumeration date
11/29/2022
Last updated
09/06/2024
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