Individual
MS. JANE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1001 HART BLVD, SUITE 100, MONTICELLO, MN 55362-8670
(763) 295-2921
Mailing address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 682-1313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R111529-5
MN
Other
Enumeration date
08/01/2006
Last updated
05/25/2012
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