NPI 1609747864

Jessica Rae Lynn Conway

Practitioner Contractor West Fargo, ND

Practice location

Address: 5828 James Drive W, West Fargo, ND 58078
Phone: (701) 715-0926

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence $$$$$$$$$ (ND)

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Registry record

NPI: 1609747864
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2025
Record last updated: 12 Sep 2025

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.