Individual
JACQUELYN ANN HEDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN PMHNP-BC
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Mailing address
11506 FREDLUND RD, HETTINGER, ND 58639-9271
(701) 928-0305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R20596
ND
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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