Female

Ms. Jennifer L. Frost PA

Physician Assistant in Shakopee, MN(View on Map)

Full Name

Ms. Jennifer L Frost PA

NPI Number

1750503611

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/02/2007

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota
South Dakota

License Number

11549
1421

Contact
Information

Purpose

Mailing
Location

Address

2925 CHICAGO AVE
8170 OLD CARRIAGE CT STE 100

City

Minneapolis
Shakopee

State

MN
MN

Postal Code

55407-1321
55379-3164

Country

US
US

Telephone Number

(612) 262-9000
(952) 428-3600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2024

Provider Address

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