JENNIFER NELSON


Address: 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866
Phone: 7637861620

JENNIFER NELSON (NPI# 1245615194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245615194
Entity Type Individual
Full Name JENNIFER NELSON
Credential NP
Practice Address 480 Osborne Rd Ne Ste 220
Fridley
MN 55432-2866
Mailing Address 2550 University Ave W Ste 110n
Saint Paul
MN 55114-2001
Practice Telephone 7637861620
Practice Fax Number 7637803099
Mailing Telephone 6516025311
Mailing Fax Number 6512226786
Enumeration Date 2015-07-21
Last Update Date 2018-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
R 159960-4 MN Physician Assistants & Advanced Practice Nursing Providers

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1659926897 Jennifer L Nelson Technician 514 Driftwood Point Rd, Santa Rosa Beach, FL 32459-3020 2019-08-05
1871031591 Jennifer Nelson Counselor 1200 S York St Ste 3250, Elmhurst, IL 60126-5629 2017-02-01
1396196796 Jennifer Nelson Chiropractor 925a 41st Ave, Santa Cruz, CA 95062-4456 2016-06-27
1346604691 Jennifer Nelson Respite Care 515 Fox Run Cir, Colorado Springs, CO 80921-3032 2016-04-12
1417325531 Jennifer Ashley Nelson Physical Therapist 1186 Fischer Blvd, Toms River, NJ 08753-3063 2015-09-05
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Office Location

Street Address 480 OSBORNE RD NE STE 220
City FRIDLEY
State MN
Zip Code 55432-2866

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336791177 Adelyn Ruth Kopp Occupational Therapist 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 2019-07-11
1831665603 White Smiles Family Dentistry Pllc Dentist 1611 County Hwy 10, Minneapolis, MN 55432 2018-10-19
1518402213 Peaceful Adult Day Center LLC. Home Health 6267 University Ave Ne, Fridley, MN 55432 2017-01-04
1205383742 Farhiya Mahamud Gelle I Durable Medical Equipment & Medical Supplies 6329 5th Street Ne Apt 8, Fridley, MN 55432 2016-09-01
1093163164 Christiane Schwecke Specialist/Technologist 8290 University Ave N, Fridley, MN 55432 2016-05-31
1336551563 Amy White Mountain Massage Therapist 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 2014-05-22
1942629795 Shane O'neil Dermatology 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 2014-04-09
1952648180 John Franklyn Marshall Family Medicine 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 2013-01-08
1558610519 Novacare Outpatient Rehabilitation East Inc Clinic/Center 480 Osborne Road, Number 280, Fridley, MN 55432 2012-09-06
1336423391 Christian Restoration Services Counselor 7157 Commerce Circle W, Fridley, MN 55432 2011-10-07
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578031779 Caroline Betty Muthuri Nurse Practitioner 550 Osborne Rd Ne, Fridley, MN 55432-2718 2018-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467071084 St. Catherine University School Based Health Clinic Nurse Practitioner 5045 Division Ave, White Bear Lake, MN 55110 2020-04-14
1669005948 Kevin Charles Carlson Nurse Practitioner 19303 Sorrel Ct, Corcoran, MN 55340-4447 2020-02-14
1144862996 Alade Lateef Hamza Nurse Practitioner 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 2019-10-14
1114584869 Tenzin Lhamo Nurse Practitioner 195 Windsor Ln, New Brighton, MN 55112-3366 2019-05-28
1255834859 Ashley M Morehouse Nurse Practitioner 625 S 4th St Ste A, Le Sueur, MN 56058-2203 2018-03-10
1013457381 Lydia Nyakonu Sherman Nurse Practitioner 606 24th Ave S #620, Minneapolis, MN 55454 2017-03-06
1912447780 Zillah Mulubisha Nurse Practitioner Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 2017-02-27
1912397142 Solomon Africanus Wesseh Jr. Nurse Practitioner 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 2015-01-26
1780084004 Angela Rae Fox Nurse Practitioner 7383 Upper 157th St W, Apple Valley, MN 55124-5108 2014-08-25
1841409265 Jody Lee Ashley Nurse Practitioner 15921 Andrie St Nw, Ramsey, MN 55303-3874 2007-05-22
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Competitor

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City FRIDLEY
Zip Code 55432

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Dataset Information

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.

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