Individual
JILL CHRISTINE NUEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 4TH ST SW, FOREST LAKE, MN 55025-1536
(651) 982-8671
Mailing address
5445 273RD ST, WYOMING, MN 55092-9384
(651) 982-8671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12002821
MN
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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