SearchMinnesota101YP2500X

Stacia Jeppson

NPI 1386048247 · on the registry since 2014

Practice

Address
3018 Lake Shore Dr
Minneapolis, MN 55416
Phone
(320) 493-8522

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-08

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