Individual
DR. JENNIFER LYNN BRAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6600
(715) 307-6601
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6173
MN
363L00000X
Nurse Practitioner
8913
WI
363LF0000X
Family Nurse Practitioner
Primary
6173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R193953-6
MN BOARD OF NURSING
MN
Enumeration date
09/11/2018
Last updated
09/12/2022
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