Individual
JACQUELYN HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E ROSSER AVE, BISMARCK, ND 58501-4414
(701) 712-4500
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4506
(701) 712-4500
(701) 712-4098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36541
ND
Other
Enumeration date
01/07/2022
Last updated
06/14/2023
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