Individual
JENNIFER RENAE LAFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9825 HOSPITAL DR, STE 205, MAPLE GROVE, MN 55369-4479
(763) 587-7004
Mailing address
9825 HOSPITAL DR, STE 205, MAPLE GROVE, MN 55369-4479
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 4200
MN
Other
Enumeration date
09/09/2016
Last updated
02/18/2021
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