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Individual

JESSIE LYNN STOLP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CNP

Contact information

Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4376
(715) 294-2111
Mailing address
28035 QUARRY DR, CENTER CITY, MN 55012-7666
(651) 894-4620

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235133
WI
163W00000X
Registered Nurse
245643-2
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
10428
MN

Other

Enumeration date
07/28/2023
Last updated
07/28/2023
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