NPI 1003419003

Jack H Duffy

Practitioner Health Educator Fridley, MN

Practice location

Address: 56- 66 1/2 Way NE, Fridley, MN 55432
Phone: (763) 381-9936

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1003419003
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2020
Record last updated: 20 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.