Provider Demographics
NPI:1003258690
Name:KLUZNIK, JENNY REBECCA (PA-C, MPH)
Entity type:Individual
Prefix:MS
First Name:JENNY
Middle Name:REBECCA
Last Name:KLUZNIK
Suffix:
Gender:F
Credentials:PA-C, MPH
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Mailing Address - Street 1:5810 42ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1634
Mailing Address - Country:US
Mailing Address - Phone:763-533-1316
Mailing Address - Fax:
Practice Address - Street 1:5810 42ND AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1634
Practice Address - Country:US
Practice Address - Phone:763-533-1316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN11395363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical