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Primary Practice Address
2310 NW 3RD ST
GRAND RAPIDS, MN 55744-2135 US
Accepts Medicare Payment

PECOS Enrolled

Jennie Jon Bata

Nurse Practitioner (Psych/Mental Health)


Overview

Jennie Jon Bata is a Nurse Practitioner (Psych/Mental Health) in the GRAND RAPIDS area and has over 11 years of experience. Jennie Jon Bata primary office location is at 2310 NW 3RD ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2014 The NPI number is 1255506929 and the information was updated approximately 1 year ago.

Jennie Jon Bata is affiliated with one medical group in the GRAND RAPIDS area, LAKEVIEW BEHAVIORAL HEALTH INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2310 NW 3RD ST
GRAND RAPIDS, MN 55744-2135 US
Phone: (701)-331-3989
Fax:
Practice Mailing Information
PO BOX 870
COLERAINE, MN 55744-2135 US
Phone: (701)-331-3989
Fax:
License NumberState
7612MN
R30139ND

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