Individual
MRS. JILL MARIE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
550 MAIN ST, NEW BRIGHTON, MN 55112-3271
(612) 326-7600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 3876
MN
363LG0600X
Gerontology Nurse Practitioner
CNP 3876
MN
Other
Enumeration date
05/19/2015
Last updated
03/11/2021
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