Individual
MS. JENNA RA BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
15075 CIMARRON AVE, ROSEMOUNT, MN 55068-1635
(651) 322-8800
Mailing address
15075 CIMARRON AVE, ROSEMOUNT, MN 55068-1635
(651) 322-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R184322-4
MN
Other
Enumeration date
06/07/2012
Last updated
09/20/2018
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