Individual
JENNIFER L. GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-6400
(763) 581-6401
Mailing address
8011 34TH AVE S # 424, BLOOMINGTON, MN 55425-1637
(651) 313-8080
(651) 925-0610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2118615
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6328
MN
Other
Enumeration date
12/10/2018
Last updated
08/12/2021
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