JEFFERY J TEMPLE


Address: 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526
Phone: 2183268749

JEFFERY J TEMPLE (NPI# 1356321467) 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) 1356321467
Entity Type Individual
Full Name JEFFERY J TEMPLE
Credential NP
Practice Address 111 Golf Course Rd
Ste 1
Grand Rapids
MN 55744-3526
Practice Telephone 2183268749
Practice Fax Number 2183260400
Mailing Telephone 2183268749
Mailing Fax Number 2183260400
Enumeration Date 2006-01-17
Last Update Date 2013-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
0359861 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN RAILROAD MEDICARE 500026265 01
MN 849650100 05
MN U CARE 143435 01
MN MEIDCA 0106837 01
MN BCBS 41B60TE 01
MN ITASCA MEDICAL CARE 849650100 01
MN PREFERRED ONE 982221028303 01
MN HEALTH PARTNERS HP49668 01
MN CHAMPUS NO10804 01

Other Providers JEFFERY TEMPLE

NPI Name Taxonomy Address Enumeration
1881995538 Jeffery R Temple Psychologist 301 University Blvd, Galveston, TX 77555-5302 2010-11-11

Office Location

Street Address 111 GOLF COURSE RD
STE 1
City GRAND RAPIDS
State MN
Zip Code 55744-3526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396745576 Paul Norman Olson Radiology 111 Golf Course Rd, Grand Rapids, MN 55744-3526 2005-07-28
1124427414 Northern Pines Orthopaedic Center, LLC Clinic/Center 111 Golf Course Rd, Suite 3, Grand Rapids, MN 55744-3526 2014-08-22
1811313612 Alans Physical Therapy of Grand Rapids Clinic/Center 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 2014-03-17
1831268978 Radtke Physical Therapy Limited Partnership Physical Therapist 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 2006-11-06
1902875040 Donald M Carlson Physical Therapist 111 Golf Course Rd, Grand Rapids, MN 55744-3526 2006-03-14
1144290958 Daniel L Baker Orthopaedic Surgery 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 2006-01-24
1508846619 Northern Pines Orthopaedic Clinic, P.a. Orthopaedic Surgery 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 2006-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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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
1154893956 Jacquelyn Dunn Nurse Practitioner 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 2018-12-19
1558900183 Kathryn Long Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2019-12-30
1134690761 Koren Gebben Nurse Practitioner 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 2018-12-07
1841775483 Stacy Lu Allen Nurse Practitioner 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 2018-09-29
1538654835 Anna Marie Rykse Nurse Practitioner 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 2018-06-28
1578065140 Kallie Rae Kraker Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2018-02-28
1083122790 Christopher Michael Bouma Nurse Practitioner 300 68th St Se, Grand Rapids, MI 49548-6927 2018-01-16
1144732850 Michelle Kristine Buist Nurse Practitioner 35 Michigan St Ne, Grand Rapids, MI 49503-2514 2017-11-03
1952810830 Kaitlin Jane Hendriksma Nurse Practitioner 550 Cherry St Se, Grand Rapids, MI 49503-4748 2017-09-24
1962954354 Samantha Lynne Wylie Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2016-11-01
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Competitor

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City GRAND RAPIDS
Zip Code 55744

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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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