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Jennifer Debra Kish, GNP
Gerontology Nurse Practitioner in Eden Prairie, Minnesota
NPI 1932372224

Jennifer Debra Kish is a Gerontology Nurse Practitioner based in Medina, MN and is specialized in Gerontology. Jennifer Debra Kish practices in Eden Prairie, MN and has the professional credentials of GNP. The NPI Number for Jennifer Debra Kish is 1932372224 and holds a License No. R1722659 (Minnesota).

The current practice location address for Jennifer Debra Kish is 8307 Kimball Dr, Eden Prairie, MN and can be reached out via phone at 612-324-9111.

Location: 8307 Kimball Dr, Eden Prairie, MN, 55340-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932372224
Provider Name
Jennifer Debra Kish
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
8307 Kimball Dr, Eden Prairie, MN, 55340-3707
Phone Number
612-324-9111
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8307 Kimball Dr
City
Eden Prairie
State
Minnesota
Zip
55347-2127
Phone Number
612-324-9111
Fax Number
person
Provider Business Mailing Address Details
Address
8307 Kimball Dr
City
Eden Prairie
State
Minnesota
Zip
55347-2127
Phone Number
612-324-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
R1722659 (Minnesota)
Definition
Definition to come...
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