Individual provider · Type 1 NPI

Jessica Determan, CPNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1699334904 Active

Practice location

205 Wabasha St S
St. Paul, MN 55107-1805

Call (651) 293-8100 Map

Fax (651) 293-8100

Mailing address

PO Box 1309-MAIL Stop 21110Q
Minneapolis, MN 55440-1309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X6515 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699334904

Jessica Determan, CPNP's National Provider Identifier is 1699334904, issued on Jun 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Aug 9, 2019.