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Individual

MS. JEREME LYNN PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(612) 813-6000
(651) 220-6707
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(612) 813-6000
(651) 220-6707

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R1682757
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9601
MN

Other

Enumeration date
09/08/2022
Last updated
04/26/2024
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