Individual
MRS. JESSICA MARIE VAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNS-BC FNP-BC
Contact information
Practice address
2251 CONNECTICUT AVE S, HEALTH PARTNERS, SARTELL, MN 56377
(320) 203-2066
Mailing address
12951 212TH AVE NE, NEW LONDON, MN 56273-9793
(320) 354-4529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 129950-6
MN
364SA2200X
Adult Health Clinical Nurse Specialist
R 129950-6
MN
Other
Enumeration date
05/22/2007
Last updated
02/20/2012
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