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Individual

JENIKKA LEE TOMASHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2805 CAMPUS DR STE 115, PLYMOUTH, MN 55441-2677
(763) 577-7800
(763) 577-7855
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R179785-9
MN
363LF0000X
Family Nurse Practitioner
Primary
2010006141
MN

Other

Enumeration date
09/29/2010
Last updated
01/30/2023
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