Individual
MRS. JANNINE IVETTE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(704) 467-5192
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006058
NC
Other
Enumeration date
03/01/2013
Last updated
09/12/2020
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