Individual provider · Type 1 NPI
Jessalyn Siewert, CNP
Pediatric Nurse Practitioner · Minneapolis, MN
NPI number
1689143018
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
1242 Sargent Ave
St. Paul, MN 55105-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 6185 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1689143018
Jessalyn Siewert, CNP's National Provider Identifier is 1689143018, issued on Nov 14, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 4, 2019.