Individual
JENNIFER BOTTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5000
Mailing address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R125822-0
MN
Other
Enumeration date
02/24/2006
Last updated
05/12/2008
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