Individual
JANA K. HAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9855 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(952) 993-3282
(763) 587-7989
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(763) 587-7989
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2256
MN
363L00000X
Nurse Practitioner
R-1679100
MN
363LW0102X
Women's Health Nurse Practitioner
R1679100
MN
Other
Enumeration date
07/07/2008
Last updated
03/08/2021
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