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Individual

MRS. JENNIFER LAUREN BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(126) 262-7800
(612) 262-7022
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-7800
(612) 262-7022

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG02170152
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5055
MN

Other

Enumeration date
04/05/2017
Last updated
05/24/2022
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