Individual
JESSICA LIN OMDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1599
(218) 463-4732
(218) 463-4778
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1599
(218) 463-4732
(218) 463-4778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10863
MN
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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