Organization
ENDOURA EFFECT, PLLC
Active
Other names
The Endoura Effect
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN SIMON APRN (CEO)
(651) 491-4946
Entity
Organization
Contact information
Practice address
1099 HELMO AVE N STE 230, OAKDALE, MN 55128-6037
(651) 243-0625
(855) 462-3105
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(651) 243-0625
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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