Jenna B Mazour, APRN,CNP
Nurse Practitioner, Family in Detroit Lakes, MN. Individual provider (NPI-1).
NPI number1043661978
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1043661978
- Entity type
- Individual (NPI-1)
- Name
- Jenna B Mazour
- Credential
- APRN,CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2016
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4772 | MN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 7019 | WI |
Practice location
1027 Washington AveDetroit Lakes, MN 56501-3409
Phone 218-844-2347
Mailing address
1702 University Dr SFargo, ND 58103-4940
Fax 715-483-0507
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All 26 Family Nurse Practitioner providers in Detroit Lakes · All 554 providers in Detroit Lakes
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