Individual
JAMIE LYNNE MCANELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
556
MN
363LP0200X
Pediatric Nurse Practitioner
R203760-2
MN
Other
Enumeration date
04/16/2012
Last updated
05/24/2013
Update your record
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