| Doctor Name: | DR. JESSICA ANNE KLEINDL |
| NPI Number: | 1811195985 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.N.P. APRN-BC, CNP |
| License Number: | R1499886 |
| Business Practice Address: | 115 W 2nd St Graceville, MN - 562404845 |
| Business Phone Number: | 3207487243 |
| Business Fax Number: | 3207488204 |
| Mailing Address: | Po Box 157, 115 West 2nd Street GRACEVILLE |
| State: | MN |
| Postal Code: | 562400157 |
| Phone Number: | 3202906722 |
| Fax Number: | 3207488204 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 05/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R1499886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |