Individual provider · Type 1 NPI

Jori L. Shore

Family Nurse Practitioner · Eagan, MN

NPI number 1013994532 Active

Practice location

1885 Plaza Dr, Park Nicollet Clinic - Eagan
Eagan, MN 55122-2612

Fax (952) 993-4075

Mailing address

6465 Wayzata Blvd, Ste 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9596 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1013994532

Jori L. Shore's National Provider Identifier is 1013994532, issued on Dec 27, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagan, MN. The record was last updated on May 8, 2015.