| Doctor Name: | JESSICA A STETTNER |
| NPI Number: | 1659783389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 209740-6 |
| Business Practice Address: | 824 N 11th St Montevideo, MN - 562651629 |
| Business Phone Number: | 3202698877 |
| Business Fax Number: | 3202698186 |
| Mailing Address: | 824 N 11th St, MONTEVIDEO |
| State: | MN |
| Postal Code: | 562651629 |
| Phone Number: | 3202698877 |
| Fax Number: | 3202698186 |
| NPI Enumeration Date: | 05/29/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 209740-6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |