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Jennifer Prom, PAC
NPI 1215948781 · on the registry since 2006
Practice
- Address
- 619 W Central Entrance
Duluth, MN 55811 - Phone
- (218) 249-4987
- Fax
- (218) 249-4989
- Organisation at this address
- St. Luke'S Hospital Of Duluth
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 109 N 28th St E, Superior, WI
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota