JESSICA MAE BRABENDER


Address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: 9529933123

JESSICA MAE BRABENDER (NPI# 1285140442) 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) 1285140442
Entity Type Individual
Full Name JESSICA MAE BRABENDER
Other Name JESSICA MAE BYRNES
Credential APRN, CPNP
Practice Address 3850 Park Nicollet Blvd
St Louis Park
MN 55416-2527
Practice Telephone 9529933123
Mailing Telephone 9529933123
Enumeration Date 2017-12-22
Last Update Date 2018-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
5561 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3850 PARK NICOLLET BLVD
City ST LOUIS PARK
State MN
Zip Code 55416-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659587 Debra Ann Rustad Nurse Practitioner 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 2005-06-15
1386280030 Melissa Jean Neiert Social Worker 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-11-18
1083261101 Annemarie Rose Kettler Dietitian, Registered 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-08-22
1427601772 Michaela Rae Schleinz Occupational Therapist 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-07-16
1720545627 Rose Alicia Crider Dietitian, Registered 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-02-27
1114435773 Adam James Uithoven Physician Assistant 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-01-17
1043729064 Grace Marie Irish Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-09-21
1760908131 Elin Christine Pool Physician Assistant 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-08-17
1912422718 Kathleen Therese Guinee Holman Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-08-14
1972025161 Katie Wocken Louwagie Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366674301 Kirsten Rebekka Morse Nurse Practitioner 4700 Park Glen Rd, St Louis Park, MN 55416-5701 2009-08-09
1992780217 Stephanie M Lindberg Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-12-09
1528042157 Holly Lund Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518587120 Amanda Joy Dominik Nurse Practitioner 4411 Arden View Ct, Arden Hills, MN 55112-1944 2020-04-23
1881245504 Hailey Prescott Nurse Practitioner 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 2019-09-24
1598317570 Elisabeth Palmquist Nurse Practitioner 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 2019-07-10
1538644562 Angela Ashton Nurse Practitioner 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 2018-09-25
1558865295 Meghan Kerry Deyo Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-19
1336642131 Caitlin Anna Lingbeck Nurse Practitioner 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 2018-03-18
1740799246 Maya Bastian Nurse Practitioner 12220 Travois Rd, Eden Prairie, MN 55347-4241 2017-09-27
1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1538691043 Jenifer Flegel Nurse Practitioner 963 Robert St S, West Saint Paul, MN 55118-1446 2017-04-03
1154796811 Megan Stark Nurse Practitioner 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 2015-12-07
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Competitor

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City ST LOUIS PARK
Zip Code 55416

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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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