Individual
JORDAN NEPSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6000
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
675-15
ND
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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