Individual
JENNIFER L MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1420
(952) 541-7157
(952) 544-0587
Mailing address
5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1420
(952) 541-7157
(952) 544-0587
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 144789-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450680400
—
MN
Enumeration date
01/11/2006
Last updated
06/06/2014
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