Individual
MS. JENELL LYNN GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E 28TH ST, MAIL ROUTE 39602, MINNEAPOLIS, MN 55407-3723
(612) 863-0846
(612) 863-4689
Mailing address
800 E 28TH ST, MAIL ROUTE 39602, MINNEAPOLIS, MN 55407-3723
(612) 863-0846
(612) 863-4689
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1459
MN
Other
Enumeration date
07/29/2010
Last updated
03/11/2021
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