Jessica Lee Stageberg
Nurse Practitioner - Primary Care
303 Catlin St
Buffalo
, Minnesota 55313-1947
Jessica Lee Stageberg
Nurse Practitioner - Primary Care
303 Catlin St
Buffalo
, Minnesota 55313-1947
(763) 221-3945
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jessica Lee Stageberg
- 5044 Greenwood Ave
- Rockford, MN
- Zip : 55373-4580
- Phone : (763) 221-3945
Second Address
- Jessica Lee Stageberg
- 303 Catlin St
- Buffalo, MN
- Zip : 55313-1947
- Phone : (763) 682-5225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | R173943-5 | MN |
National Provider Identifier
| NPI | 1063802155 |
|---|---|
| Provider Name | Jessica Lee Stageberg |
| First Address | Rockford, MN 55373-4580 |
| Second Address | Buffalo, MN 55313-1947 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2015 |
| Last Update Date | 28/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.