Individual provider · Type 1 NPI
Jennifer Lais
Adult Health Nurse Practitioner · Minneapolis, MN
NPI number
1508253857
Active
Practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
18136 211th Ave NW
Big Lake, MN 55309-9642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R 205488-9 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | 50549 (ND) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 50549 (ND) |
Adult Health Nurse Practitioner: Definition to come...
2,208 other providers at this address
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About NPI 1508253857
Jennifer Lais's National Provider Identifier is 1508253857, issued on Apr 23, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 29, 2022.