Individual
MRS. JAN ELAINE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
11990 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-2005
(402) 598-2365
Mailing address
3808 DREW AVE S, MINNEAPOLIS, MN 55410-1046
(402) 598-2365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP2892
MN
Other
Enumeration date
04/17/2006
Last updated
04/06/2016
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