Most Relevant Information
Provider Data
| NPI Number: | 1003383878 |
| Provider Name: | JESSICA LYNN MCADAM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2018 |
| Last Updated: | 01/15/2019 |
Provider Practice Location
2450 RIVERSIDE AVE
MINNEAPOLIS
MN
554541450
Practice Location Phone/Fax
| Phone: | 6122738383 |
| Fax: |
Provider Mailing Location
2450 RIVERSIDE AVE
MINNEAPOLIS
MN
554541450
Provider Mailing Phone/Fax
| Phone: | 7013884455 |
| Fax: |