JENNIFER DEBRA KISH


Address: 7701 York Street, Ste. 100, Edina, MN 55435-5543
Phone: 1257905976

JENNIFER DEBRA KISH (NPI# 1932372224) 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) 1932372224
Entity Type Individual
Full Name JENNIFER DEBRA KISH
Credential GNP
Practice Address 7701 York Street
Ste. 100
Edina
MN 55435-5543
Mailing Address 784 Linwood Ave
Saint Paul
MN 55105-3322
Practice Telephone 1257905976
Practice Fax Number 6124934221
Mailing Telephone 8174406060
Enumeration Date 2008-04-08
Last Update Date 2018-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
R1722659 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3400 W 66th St, Edina, MN 554352111 9528363637

Other Providers JENNIFER KISH

NPI Name Taxonomy Address Enumeration
1356439103 Jennifer Christinaki Kish Physical Therapist 20322 Huebner Rd, Ste 105, San Antonio, TX 78258-3462 2006-10-10
1568443513 Jennifer L Kish Emergency Medicine 1000 E Washington St, Medina General Hospital Emergency Dept, Medina, OH 44256-2170 2005-11-08

Office Location

Street Address 7701 YORK STREET
STE. 100
City EDINA
State MN
Zip Code 55435-5543

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
Find all providers in zip 55435

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407223159 Carla Sue Christenson Nurse Practitioner 3400 W. 66th St, Edina, MN 55435 2015-08-28
1982692232 Catherine Ann Lauring Nurse Practitioner 4570 W 77th St Ste 350, Edina, MN 55435-5035 2005-10-11
1164990842 Rougui B Bah Nurse Practitioner 7400 France Ave S Ste 100, Edina, MN 55435-4738 2018-11-11
1558805903 Marlo Inez Dworsky Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-12-05
1023479458 Allison Dillon Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-03-12
1730555889 Danielle Bandholz Nurse Practitioner 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2015-08-12
1356694079 Rebecca Lynn Lucking Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2012-10-18
1881956209 Joan Marie Mason Bowlin Nurse Practitioner 3400 W 66th St, Ste 290, Edina, MN 55435-2111 2012-06-12
1447410931 Vicki Lynn Niedzwieski Nurse Practitioner 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2008-06-10
1437367885 Stacey Ann Dehn Nurse Practitioner 3400 W 66th St, Edina, MN 55435-2111 2007-05-18
Find all providers in EDINA

Competitor

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City EDINA
Zip Code 55435

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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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