Organization
EVOLVE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TINKLER FNP (OWNER)
(701) 740-0052
Entity
Organization
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4899
(701) 712-4225
Mailing address
1646 28TH AVE. S. #10, GRAND FORKS, ND 58201
(701) 740-0052
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/08/2019
Last updated
11/19/2019
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