Individual
JENNIE GAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 5TH ST E, TRACY, MN 56175-1536
(507) 629-8400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1915
MN
Other
Enumeration date
04/04/2016
Last updated
12/02/2020
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