Moriasi, Jackline Monyangi
Moriasi, Jackline Monyangi is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Ste 350 , Brooklyn Center MN 55430-2155. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moriasi, Jackline Monyangi can be contacted via phone (763) 503-8560.Contact Information
Primary practice address
6200 Shingle Creek Pkwy Ste 350
Brooklyn Center MN 55430-2155
Phone: (763) 503-8560
Fax: (763) 503-8563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10108 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN312890 | Georgia |
Nursing Service Providers / Registered Nurse | 163W00000X | 1699478 | Minnesota |
Profile Details
NPI number | 1326761842 |
---|---|
LBN Legal business name | Moriasi, Jackline Monyangi |
Credentials | MSN, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2022 |
Last updated | Jun 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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