TWILA JESSO (NPI# 1043552896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043552896 |
Entity Type | Individual |
Full Name | TWILA JESSO |
Other Name | TWIL KLASEN |
Credential | CNP |
Practice Address |
43500 Migizi Dr Onamia MN 56359-2241 |
Practice Telephone | 3205324163 |
Mailing Telephone | 3205324163 |
Enumeration Date | 2013-03-20 |
Last Update Date | 2015-10-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
188626-5 | MN | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP 2811 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
43500 MIGIZI DR |
City | ONAMIA |
State | MN |
Zip Code | 56359-2241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518943885 | Donald V Gunderson | Internal Medicine | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2005-12-19 |
1801366695 | Tanya Ann Doyle | Counselor | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-12-05 |
1134690969 | Christina Marie Irrgang-wade | Counselor | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-12-05 |
1023583408 | Sara Graff | Dental Hygienist | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-10-11 |
1558840389 | Briana Marie Rosvold | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-08-13 |
1972039956 | Laura Lee | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2017-05-11 |
1831624857 | Mille Lacs Band of Ojibwe Indians | Clinic/Center | 43500 Migizi Dr, Onamia, MN 56359 | 2017-04-27 |
1447625041 | Casandra Lynn Helmin | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2015-12-08 |
1598139677 | Alicia Remer | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2015-11-30 |
1396160826 | Kelsay Mary Peterson | Dietitian, Registered | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2014-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
Find all providers in zip 56359 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518587120 | Amanda Joy Dominik | Nurse Practitioner | 4411 Arden View Ct, Arden Hills, MN 55112-1944 | 2020-04-23 |
1881245504 | Hailey Prescott | Nurse Practitioner | 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 | 2019-09-24 |
1598317570 | Elisabeth Palmquist | Nurse Practitioner | 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | 2019-07-10 |
1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
1538691043 | Jenifer Flegel | Nurse Practitioner | 963 Robert St S, West Saint Paul, MN 55118-1446 | 2017-04-03 |
1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.