MS. JEANNE WAALEN


Address: 4200 Woodhaven St Sw, Fargo, ND 58104-3946
Phone: 7013643666

MS. JEANNE WAALEN (NPI# 1700826369) 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) 1700826369
Entity Type Individual
Full Name MS. JEANNE WAALEN
Credential PHYSICIAN ASSISTANT
Practice Address 4200 Woodhaven St Sw
Fargo
ND 58104-3946
Practice Telephone 7013643666
Mailing Telephone 7013643666
Enumeration Date 2006-06-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PAC 0260 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4200 WOODHAVEN ST SW
City FARGO
State ND
Zip Code 58104-3946

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837347 Pinnacle Therapy & Wellness, Pllc Physical Therapist 4500 36th Ave S Suite 100, Fargo, ND 58104 2020-07-02
1619509858 Patricia Helen Bathie Counselor 4243 Auburn Ave., Fargo, ND 58104 2020-02-05
1346892866 Elizabeth Olis Registered Nurse 2633 55th St. S, Apartment 202, Fargo, ND 58104 2019-07-15
1780247023 Keith Kirimi Ndege Physical Therapy Assistant 5225 23rd Ave South, Fargo, ND 58104 2019-04-22
1346728557 Ms4 Pllc Pharmacy 4476 31st Avenue South, Suite #105, Fargo, ND 58104 2018-07-31
1891286977 Jessica Rae Majidian Dentist 3030 49th St S, Fargo, ND 58104 2018-05-23
1821588500 Alissa Nichole Larson Pharmacist 5675 26th Ave S St. 136a, Fargo, ND 58104 2018-05-17
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1619406733 Cobalt Rehabilitation Hospital Fargo LLC Rehabilitation Hospital 4671 38th Street S, Fargo, ND 58104 2017-06-12
1790210318 Homefield Health, LLC Clinic/Center 4141 31st Ave S., Ste 102, Fargo, ND 58104 2017-04-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033665310 Caitlyn R Cameron Physician Assistant 4110 51st Ave South, Fargo, ND 58104 2016-08-28
1295069664 Megan Jean Boose Physician Assistant 3173 43rd St S Ste A, Fargo, ND 58104-4564 2009-10-01
1487715405 Nancy M Eastman Physician Assistant 4622 40th Ave S, Fargo, ND 58104-4394 2006-12-13
1982642773 Linda K Regan Physician Assistant 1800 21st Avenue South, Fargo, ND 58103 2006-06-03
1437153905 Jay R Metzger Physician Assistant 306 4th St N, Fargo, ND 58102-4820 2005-06-13
1538786728 Peter V Tronset Physician Assistant 5225 23rd Ave S, Fargo, ND 58104-7927 2020-07-03
1750908455 Jordan Ann Wiedmann Physician Assistant 3201 33rd St S, Fargo, ND 58104-8823 2020-06-29
1144842089 Matthew Hockert Physician Assistant 700 1st Ave S, Fargo, ND 58103-1802 2020-05-14
1770110777 Steffani Nicole Johnston Mack Physician Assistant 700 1st Ave S, Fargo, ND 58103-1802 2020-03-27
1437786860 Derek Weninger Physician Assistant 2301 25th St S, Fargo, ND 58103-6104 2020-03-25
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Competitor

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City FARGO
Zip Code 58104

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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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