Individual
JAYCEE KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3274 51ST ST S, FARGO, ND 58104-7179
(701) 740-4876
Mailing address
3654 56TH ST S, FARGO, ND 58104-4492
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
TEMP200954
ND
Other
Enumeration date
10/18/2024
Last updated
08/11/2025
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