Individual
CALLI JAE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Mailing address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9584
MN BOARD OF NURSING LICENSE
MN
Enumeration date
10/04/2022
Last updated
10/04/2022
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