Individual
JANE M MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1667
MN
367500000X
Certified Registered Nurse Anesthetist
R 123540-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549S6JA
BCBSMN
MN
05
—
590843400
—
MN
Enumeration date
08/11/2005
Last updated
12/19/2024
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