Individual
JACQUELINE GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
36090 400TH AVE, AITKIN, MN 56431-5615
(218) 216-7970
(218) 228-1131
Mailing address
36090 400TH AVE, AITKIN, MN 56431-5615
(218) 228-1131
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6700
MN
Other
Enumeration date
07/24/2019
Last updated
03/15/2026
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