Individual
JENNIFER VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DNP, NP-C
Contact information
Practice address
19685 PILOT KNOB RD STE 100, FARMINGTON, MN 55024-7238
(651) 602-7500
(651) 602-7580
Mailing address
19685 PILOT KNOB RD STE 100, FARMINGTON, MN 55024-7238
(651) 602-7500
(651) 602-7580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
178729-6
MN
363L00000X
Nurse Practitioner
Primary
876
MN
Other
Enumeration date
08/27/2014
Last updated
01/19/2022
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