Individual
JENNIFER C DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 641-7000
(651) 641-7166
Mailing address
2009 TREMONT AVE, FORT WORTH, TX 76107-3959
(651) 642-2700
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151628100
—
MN
Enumeration date
06/25/2006
Last updated
02/21/2020
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