Individual
MANDY SUMMER JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58122-0001
(701) 234-4811
(701) 234-6979
Mailing address
820 4TH ST N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R28421
ND
Other
Enumeration date
07/24/2006
Last updated
02/13/2019
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