Provider Demographics
NPI:1023440294
Name:LIND, KARLA JEAN (CNP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:JEAN
Last Name:LIND
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:JEAN
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:5366 386TH STREET
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-0813
Mailing Address - Country:US
Mailing Address - Phone:651-674-4570
Mailing Address - Fax:855-674-4570
Practice Address - Street 1:11725 STINSON AVE
Practice Address - Street 2:
Practice Address - City:CHISAGO CITY
Practice Address - State:MN
Practice Address - Zip Code:55013-9542
Practice Address - Country:US
Practice Address - Phone:651-674-4570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR124620-3363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily