JEAN KAY KIRK


Address: 1900 Centracare Circle #2475, Centracare Health Plaza, St Cloud, MN 56303-5000
Phone: 3202294977

JEAN KAY KIRK (NPI# 1346616281) 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) 1346616281
Entity Type Individual
Full Name JEAN KAY KIRK
Other Name JEAN KAY ZINKEN
Credential APRN CNP
Practice Address 1900 Centracare Circle #2475
Centracare Health Plaza
St Cloud
MN 56303-5000
Mailing Address 1406 6th Avenue North
St Cloud Hospital
St Cloud
MN 56303-1900
Practice Telephone 3202294977
Practice Fax Number 3202295109
Mailing Telephone 3202512700
Mailing Fax Number 3206567115
Enumeration Date 2015-08-14
Last Update Date 2015-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R1906705 MN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP4000 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEAN KIRK

NPI Name Taxonomy Address Enumeration
1942248703 Jean Kirk Psychologist 243 Lincoln Ave, Mineola, NY 11501-2544 2006-06-03
1447249537 Jean H Kirk Radiology Broad and Vine Streets, Ms310, Phila, PA 19102 2005-10-20
1194881615 Jean Marie Kirk Chiropractor 1165 W Washington St, Pittsfield, IL 62363-1662 2006-12-29

Office Location

Street Address 1900 CENTRACARE CIRCLE #2475
CENTRACARE HEALTH PLAZA
City ST CLOUD
State MN
Zip Code 56303-5000

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NPI Name Taxonomy Address Enumeration
1841800463 Daniel P Lahr Radiologic Technologist St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 2020-08-07
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1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
1740792761 Lisa Ann Horner Nurse Practitioner 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 2017-10-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1962009548 Emily Ongaga Nurse Practitioner 43 10 Parkview Circle, Anoka, MN 55303 2020-10-06
1811504038 Rita Jane Giglio Nurse Practitioner 201 Stade Ln, Fairmont, MN 56031-3227 2020-09-30
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1366056806 Associates In Mental Health and Addiction Services. P.l.l.c Nurse Practitioner 166 W 3rd St Ste 202, Winona, MN 55987-6591 2020-09-02
1891308813 Chelsey Paulson Nurse Practitioner 228 Krays Mill Rd, Cold Spring, MN 56320-4563 2020-08-28
1417560681 Amy Engle Nurse Practitioner 1125 Se 8th Street, Willmar, MN 56201 2020-08-28
1609488964 Heather Mantsch Nurse Practitioner 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 2020-08-18
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Competitor

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City ST CLOUD
Zip Code 56303

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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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