Individual
DR. JESSICA CAROLINE THIENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNM
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
2124 COMO AVE APT 104, SAINT PAUL, MN 55108-1830
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
383
MN
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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