Individual
JODI LYNN MISEGADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
118 MAIN AVENUE NORTH, NEW YORK MILLS, MN 56567-0099
(218) 385-5508
Mailing address
PO BOX 99, NEW YORK MILLS, MN 56567-0099
(218) 385-5508
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R152074-1
MN
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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