Individual
JANELL KATIE HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
7550 34TH AVE S, MINNEAPOLIS, MN 55450-2601
(612) 727-1167
Mailing address
1898 MATHIAS RD, SHAKOPEE, MN 55379-4434
(763) 453-2908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4352
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP 4352
LICENSE NUMBER
MN
01
—
F1215409
FNP CERTIFICATION NUMBER
MN
Enumeration date
01/26/2016
Last updated
05/17/2022
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