Female

Jacqueline Grinnell APRN

Psychiatric/Mental Health Nurse Practitioner in Baxter, MN(View on Map)

Full Name

Jacqueline Grinnell APRN

NPI Number

1861045262

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/24/2019

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

6700

Contact
Information

Purpose

Mailing
Location

Address

1900 SILVER LAKE RD NW
13045 FALCON DR STE 100

City

New Brighton
Baxter

State

MN
MN

Postal Code

55112-1786
56425-4201

Country

US
US

Telephone Number

(651) 628-9566
(218) 829-9307

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

Data last updated by provider on 01/07/2020

Provider Address

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