Individual
JACQUELINE MARIE GRUNEFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
121 W ELM AVE, LINTON, ND 58552-2100
(701) 254-4531
(701) 254-5459
Mailing address
1955 HIGHWAY 34, KINTYRE, ND 58549-9457
(701) 332-6314
(701) 254-5459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R26709
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19814
—
ND
01
—
26435
BCBS
ND
Enumeration date
07/15/2006
Last updated
07/06/2026
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