Individual
JESSICA MARY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-5033
(651) 326-5900
Mailing address
1055 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-5033
(651) 326-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49719
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366613000
—
MN
Enumeration date
04/16/2007
Last updated
03/31/2017
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