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NPI Code Detail

MEDICARE: JOCELIN WEHLAGE

MEDICARE: JOCELIN WEHLAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner12191MN
2163WM0705XMedical-Surgical Registered Nurse2470501MN
3163WC1500XCommunity Health Registered Nurse30997MN

General Provider Information

NPI Number : 1225707268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELIN WEHLAGE
Provider Business Mailing Address
First Line : 1200 LAGOON AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2077
Country : US
Telephone Number : 612-601-6011
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LAGOON AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2077
Country : US
Telephone Number : 612-601-6011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 03/20/2026

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Directions to “ JOCELIN WEHLAGE ” Practice Location

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