Individual
JACLYN DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
(320) 252-1670
Mailing address
15637 115TH AVE, OSAKIS, MN 56360-4558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2533213
MN
164W00000X
Licensed Practical Nurse
L725916
MN
Other
Enumeration date
09/10/2024
Last updated
03/06/2026
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