Individual
JESSICA MARIE KOTRBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER, GRAND FORKS, ND 58201
(701) 795-2000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R30337
ND
363LF0000X
Family Nurse Practitioner
Primary
R30337
ND
Other
Enumeration date
07/13/2012
Last updated
02/26/2019
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