Individual provider · Type 1 NPI
Jakiann Marie Mork, ANP-BC
Adult Health Nurse Practitioner · Wyoming, MN
NPI number
1184855587
Active
Practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
4535 Heights Dr
Columbia Heights, MN 55421-3321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R103401-7 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1184855587
Jakiann Marie Mork, ANP-BC's National Provider Identifier is 1184855587, issued on Aug 3, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wyoming, MN. The record was last updated on Aug 3, 2009.