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Individual

JANA JO BRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
RR 3 BOX 120, LAKE CITY, MN 55041-9488

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R-137318-9
MN

Other

Enumeration date
03/22/2006
Last updated
01/14/2021
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