NPI 1730810615

Jaurdyn Leeanne Gilliss

Practitioner Peer Specialist Moorhead, MN

Practice location

Address: 2900 5th St S, Moorhead, MN 56560-4966
Phone: (701) 306-5986

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1730810615
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2022
Record last updated: 21 Jun 2022

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.