Individual
JENNIFER NICOLE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
2070 MANITOU AVE, SAINT PAUL, MN 55119-3559
(651) 739-8938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177916-5
MN
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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