Individual provider · Type 1 NPI

Jenna B. Mazour, APRN, CNP

Family Nurse Practitioner · Detroit Lakes, MN

NPI number 1043661978 Active

Practice location

1027 Washington Ave
Detroit Lakes, MN 56501-3409

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X7019 (WI)
Family Nurse Practitioner Primary 363LF0000X4772 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1043661978

Jenna B. Mazour, APRN, CNP's National Provider Identifier is 1043661978, issued on Jun 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Apr 9, 2024.