Ms Jennifer M Hillukka, RD,LD | |
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2874 |
Full Name | Ms Jennifer M Hillukka |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 705 Pleasant Ave S, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801033642 | NPI | - | NPPES |
1801033642 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 218 (Alaska) | Secondary |
133V00000X | Dietitian, Registered | 2602 (Minnesota) | Primary |
Provider Name | Innovis Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer M Hillukka, RD,LD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Ms Jennifer M Hillukka, RD,LD 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Marya Dawn Willie, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Essentia Health Park Rapids Clinic, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Monica M Foster, LRD/CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Amy Luther, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Chelsea Tufts, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-3311 |