Individual
JENNIFER LEE PARKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
115 6TH ST NE, CASS LAKE, MN 56633-3428
(218) 335-8315
(218) 335-4578
Mailing address
115 6TH ST NE, CASS LAKE, MN 56633-3428
(218) 335-8315
(218) 335-4578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-195311-4
MN
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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