Individual
JENNIFER D. CEYNAR MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5918
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R27188
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10969
—
ND
05
—
4305386
—
MT
Enumeration date
07/17/2006
Last updated
07/28/2022
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