Individual provider · Type 1 NPI

Jessica Mae Mudgett

Family Nurse Practitioner · Crosby, MN

NPI number 1619453115 Active

Practice location

320 E Main St
Crosby, MN 56441-1645

Mailing address

12668 43rd Ave SW
Pillager, MN 56473-2405

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF06181406 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1619453115

Jessica Mae Mudgett's National Provider Identifier is 1619453115, issued on Jul 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crosby, MN. The record was last updated on Jul 17, 2018.