Individual
JENNIFER HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1380 S COLUMBIA RD, GRAND FORKS, ND 58201-4059
(701) 795-2000
(701) 795-2260
Mailing address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819
(701) 780-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0790
ND
Other
Enumeration date
07/09/2019
Last updated
09/22/2020
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