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General NPI Number Information
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NPI Number | 1851774905
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Entity Type | Individual
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Provider Name | JESSICA KRAUTH APRN,CNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2400 ST FRANCIS DR
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City | BRECKENRIDGE
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State | MN
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Zip | 56520-1025
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Country | US
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Telephone | 218-643-0747
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Fax | 218-643-0748
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Provider Business Mailing Address
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Address Line | 2400 ST FRANCIS DR
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City | BRECKENRIDGE
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State | MN
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Zip | 56520-1025
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Country | US
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Telephone | 218-643-0747
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Fax | 218-643-0748
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R-187957-3
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R44952
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 3968
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R449652
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License Number State | ND
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