Individual
JACQUELINE MARIE KLINKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225115
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
23802
TN
Other
Enumeration date
10/20/2017
Last updated
12/13/2018
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