Individual
JACKIE LYNN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-4000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11831
MN
Other
Enumeration date
04/02/2024
Last updated
09/10/2024
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