Provider Demographics
NPI:1528479433
Name:POSEY, JENNIFER (L AC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:POSEY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:LINDSTROM
Mailing Address - State:MN
Mailing Address - Zip Code:55045-0221
Mailing Address - Country:US
Mailing Address - Phone:612-305-8107
Mailing Address - Fax:
Practice Address - Street 1:11347 NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHISAGO CITY
Practice Address - State:MN
Practice Address - Zip Code:55013-9815
Practice Address - Country:US
Practice Address - Phone:612-305-8107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1719171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist