Individual provider · Type 1 NPI
Jesse Koller, CNP
Psychiatric/Mental Health Nurse Practitioner · Hibbing, MN
NPI number
1548958044
Active
Practice location
750 E 34th St
Hibbing, MN 55746-2341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10157 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10157 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548958044
Jesse Koller, CNP's National Provider Identifier is 1548958044, issued on Apr 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hibbing, MN. The record was last updated on Apr 24, 2023.