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Jenna Marie Long
Family Nurse Practitioner in Lamoure, North Dakota
NPI 1225504731

Jenna Marie Long is a Family Nurse Practitioner based in Lamoure, ND and is specialized in Family. Jenna Marie Long practices in Lamoure, ND. The NPI Number for Jenna Marie Long is 1225504731 and holds a License No. R39489 (North Dakota).

The current practice location address for Jenna Marie Long is 100 1St Ave Sw, Lamoure, ND and can be reached out via phone at 701-883-5048.

Location: 100 1St Ave Sw, Lamoure, ND, 58458-7153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225504731
Provider Name
Jenna Marie Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 1St Ave Sw, Lamoure, ND, 58458-7153
Phone Number
701-883-5048
Fax Number
Provider Enumeration Date
10/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 1St Ave Sw
City
Lamoure
State
North Dakota
Zip
58458
Phone Number
701-883-5048
Fax Number
person
Provider Business Mailing Address Details
Address
100 1St Ave Sw
City
Lamoure
State
North Dakota
Zip
58458
Phone Number
701-883-5048
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R39489 (North Dakota)
Definition
Definition to come...
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