Individual
JENNA ELIZABETH ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM. IBCLC
Contact information
Practice address
425 241ST ST, BALATON, MN 56115-1107
(507) 430-0636
Mailing address
425 241ST ST, BALATON, MN 56115-1107
(507) 430-0636
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
R-193011-1
MN
367A00000X
Advanced Practice Midwife
Primary
542
MN
Other
Enumeration date
12/23/2019
Last updated
07/19/2023
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