JENNIFER L DERRICK


Address: 1025 Marsh St, Mankato, MN 56001
Phone: 5076254031

JENNIFER L DERRICK (NPI# 1700083680) 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) 1700083680
Entity Type Individual
Full Name JENNIFER L DERRICK
Credential MD
Practice Address 1025 Marsh St
Mankato
MN 56001
Mailing Address 1025 Marsh St
Mankato
MN 56001-4752
Practice Telephone 5076254031
Mailing Telephone 5076254031
Enumeration Date 2007-07-02
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 50807 MN Allopathic & Osteopathic Physicians
N 207PH0002X Emergency Medicine
Specialization: Hospice and Palliative Medicine
50807 MN Allopathic & Osteopathic Physicians
Y 2086H0002X Surgery
Specialization: Hospice and Palliative Medicine
50807 MN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1025 Marsh St, Mankato, MN 56001 5076254031

Other Providers JENNIFER DERRICK

NPI Name Taxonomy Address Enumeration
1619359494 Jennifer Derrick Licensed Practical Nurse 615 Avenue C, Brooklyn, NY 11218-4101 2015-06-29

Office Location

Street Address 1025 MARSH ST
City MANKATO
State MN
Zip Code 56001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154316206 James J Milavetz Internal Medicine 1025 Marsh St, Mankato, MN 56001-4752 2005-09-14
1811596059 Kiman Dinh Pharmacist 1025 Marsh St, Mankato, MN 56001-4752 2020-10-20
1295349710 Joseph Flynn Pharmacist 1025 Marsh St, Mankato, MN 56001-4752 2020-09-02
1972115962 Mohamed A Ibrahim Community Health Worker 1025 Marsh St, Mankato, MN 56001-4752 2020-08-20
1174147110 Emily Behrend Advanced Practice Midwife 1025 Marsh St, Mankato, MN 56001-4752 2020-06-05
1205455755 Whitney Farr Social Worker 1025 Marsh St, Mankato, MN 56001-4752 2020-04-15
1134765233 Kay S Williams Nurse Practitioner 1025 Marsh St, Mankato, MN 56001-4752 2019-11-23
1871138263 Sydney Mcinnis Nurse Practitioner 1025 Marsh St, Mankato, MN 56001-4752 2019-11-09
1730739061 Kelsey Elizabeth Mork Physician Assistant 1025 Marsh St, Mankato, MN 56001-4752 2019-09-18
1891345369 Matthew Joseph Perri Nurse Practitioner 1025 Marsh St, Mankato, MN 56001-4752 2019-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935435 Kelly Nicole Ricke Physical Medicine & Rehabilitation 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 2020-09-03
1649816786 Ashley Lynn Walters Technician, Other 501 Madison Ave., Mankato, MN 56001 2019-11-25
1720631716 Dovetail Traslation LLC Interpreter 212 Dublin Ct, Same As Above, Mankato, MN 56001 2019-07-19
1093377871 Lindsey Keithahn Counselor 2100 Bassett Drive, Mankato, MN 56001 2019-07-02
1255803813 Amy Marie Williams Acupuncturist 709 S. Front Street, Suite 5, Mankato, MN 56001 2018-12-20
1518437573 Ashley Blanchard Acupuncturist Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 2018-12-03
1831687235 Christian Goetz Specialist/Technologist 401-477 South Rd, Mankato, MN 56001 2018-05-01
1366949141 Minnesota State College and Universities Specialist/Technologist 135 Myers Field House, Mankato, MN 56001 2018-04-09
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
1972014231 Rylee Wagner Speech-Language Pathologist Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 2017-10-13
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Taxonomy Information

Taxonomy Code 2086H0002X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Competitor

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City MANKATO
Zip Code 56001

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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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