Individual
JESSICA LYNN HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10150 NIAGARA LN N STE 100, MAPLE GROVE, MN 55369-7588
(763) 712-2100
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2465398
MN
Other
Enumeration date
01/23/2024
Last updated
04/02/2025
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