Jessica M. Staples PA-C
Physician Assistant in Fridley, MN(View on Map)
Full Name
Jessica M Staples PA-C
NPI Number
1356544274
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/07/2007
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
10271
Contact
Information
Purpose
Mailing
Location
Address
8290 UNIVERSITY AVE NE STE 200
8290 UNIVERSITY AVE NE STE 200
City
Fridley
Fridley
State
MN
MN
Postal Code
55432-1876
55432-1876
Country
US
US
Telephone Number
(763) 786-9543
(763) 786-9543
Identifiers
Identifier
1356544274
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/02/2018