Individual provider · Type 1 NPI

Jennifer Rose Porter, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Thief River Falls, MN

NPI number 1770103129 Active

Practice location

120 Labree Ave S
Thief River Falls, MN 56701-2819

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7365 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1770103129

Jennifer Rose Porter, PMHNP's National Provider Identifier is 1770103129, issued on Apr 25, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Thief River Falls, MN. The record was last updated on Oct 26, 2021.