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Search › Minnesota › 225X00000X

Jessica Kopp

NPI 1730250028 · on the registry since 2006

Practice

Address
12450 Cloud Dr Ne
Blaine, MN 55449
Phone
(763) 777-7117
Organisation at this address
Edgewood Blaine Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 677 Brianna Dr, Sartell, MN
  • 5200 Fairview Blvd, Wyoming, MN

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-01

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