AGNES LIMUNGA JACKAI

BLAINE, MN
NPI1891403135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  10001)
Enumeration Date2022-11-07
Last Update Date2025-05-14
Business Address
AGNES LIMUNGA JACKAI APRN, CNP, PMHNP-BC
1521 93RD LN NE STE 100
BLAINE, MN 55449-4432
Phone number: 612-598-3937
Mailing Address
AGNES LIMUNGA JACKAI APRN, CNP, PMHNP-BC
1521 93RD LN NE STE 100
BLAINE, MN 55449-4432
Phone number: 612-598-3937