Individual
JACQUELYN LEE DENARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
311 W LAKE ST, MINNEAPOLIS, MN 55408-3026
(952) 303-6085
(952) 426-0785
Mailing address
311 W LAKE ST, MINNEAPOLIS, MN 55408-3026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2264
MN
363LF0000X
Family Nurse Practitioner
R 181234 9
MN
Other
Enumeration date
07/23/2013
Last updated
08/07/2025
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