Individual
JANA MARIE LILYERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP/GNP
Contact information
Practice address
30 S BEHL ST, APPLETON, MN 56208-1616
(320) 289-2422
(320) 289-1585
Mailing address
30 S BEHL ST, APPLETON, MN 56208-1616
(320) 289-2422
(320) 289-1585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R161003-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R161003-3
MINNESOTA LICENSE IDENTIFICATION NUMBER
MN
Enumeration date
07/10/2012
Last updated
07/10/2012
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