Doctor Name: | JESSICA ANN LINSTEN |
NPI Number: | 1366479826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CNP |
License Number: | R137624-1 |
Business Practice Address: | 211 S Boundary Ave Proctor, MN - 558102306 |
Business Phone Number: | 2186244819 |
Business Fax Number: | 2186247323 |
Mailing Address: | 211 S Boundary Ave, PROCTOR |
State: | MN |
Postal Code: | 558102306 |
Phone Number: | 2186244819 |
Fax Number: | 2186247323 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R137624-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |