Individual
LISA M JOSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-6600
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9450
MN
363LF0000X
Family Nurse Practitioner
Primary
R29899
ND
Other
Enumeration date
07/12/2022
Last updated
09/26/2022
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