Individual
MS. JENNIFER DEE BESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 BITTERSWEET LN, MAPLEWOOD, MN 55109-2102
(605) 360-8790
Mailing address
2506 BITTERSWEET LN, MAPLEWOOD, MN 55109-2102
(605) 360-8790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-2205971
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-2205971
MN BOARD OF NURSING
MN
Enumeration date
08/13/2017
Last updated
07/21/2022
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