Individual
MRS. JACLYN SUSAN ROERS KASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3345 39TH ST S STE 2, FARGO, ND 58104
(877) 522-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R37012
ND
363LF0000X
Family Nurse Practitioner
NP95003104
CA
Other
Enumeration date
09/17/2015
Last updated
03/11/2025
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