Provider Demographics
NPI:1417605734
Name:DRESSEN, JESSICA LIN (LPN, IBCLC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LIN
Last Name:DRESSEN
Suffix:
Gender:F
Credentials:LPN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 POPLAR AVE N
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:MN
Mailing Address - Zip Code:56220-1258
Mailing Address - Country:US
Mailing Address - Phone:320-333-6734
Mailing Address - Fax:
Practice Address - Street 1:348 W MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1371
Practice Address - Country:US
Practice Address - Phone:507-401-2688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN817183164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse