JENNIFER ROSE PORTER

THIEF RIVER FALLS, MN
NPI1770103129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  7365)
Enumeration Date2020-04-25
Last Update Date2021-10-26
Business Address
Mrs. JENNIFER ROSE PORTER PMHNP
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2819
Phone number: 218-683-4351
Mailing Address
Mrs. JENNIFER ROSE PORTER PMHNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: