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Jean Thom, NP
Family Nurse Practitioner in Grand Rapids, Minnesota
NPI 1598743494

Jean Thom is a Family Nurse Practitioner based in Grand Rapids, MN and is specialized in Family. Jean Thom practices in Grand Rapids, MN and has the professional credentials of NP. The NPI Number for Jean Thom is 1598743494 and holds a License No. 169566-22 (Minnesota).

The current practice location address for Jean Thom is 1601 Golf Course Rd, Grand Rapids, MN and can be reached out via phone at 218-326-5000.

Location: 1601 Golf Course Rd, Grand Rapids, MN, 55744-8648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598743494
Provider Name
Jean Thom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1601 Golf Course Rd, Grand Rapids, MN, 55744-8648
Phone Number
218-326-5000
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
913542100 05 MN
institution
Provider Business Practice Location Address Details
Address
1601 Golf Course Rd
City
Grand Rapids
State
Minnesota
Zip
55744-8648
Phone Number
218-326-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Golf Course Rd
City
Grand Rapids
State
Minnesota
Zip
55744-8648
Phone Number
218-326-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
169566-22 (Minnesota)
Definition
Definition to come...
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