JENIFER WYNNE


Address: 1055 Westgate Dr, Saint Paul, MN 55114-1065
Phone: 6516359173

JENIFER WYNNE (NPI# 1700215001) 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) 1700215001
Entity Type Individual
Full Name JENIFER WYNNE
Credential APRN, GNP-BC
Practice Address 1055 Westgate Dr
Saint Paul
MN 55114-1065
Mailing Address 618 23rd Ave S
Grand Forks
ND 58201-7412
Practice Telephone 6516359173
Mailing Telephone 7017759707
Enumeration Date 2013-11-06
Last Update Date 2013-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
R31542 ND Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
R-172391-7 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1055 WESTGATE DR
City SAINT PAUL
State MN
Zip Code 55114-1065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528043171 Kathryn I Kreslins Nurse Practitioner 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2005-12-07
1811453129 Lindsay D. Howell Nurse Practitioner 1055 Westgate Dr, Saint Paul, MN 55114-1065 2019-02-12
1881164804 Jo Walker Nurse Practitioner 1055 Westgate Dr, Saint Paul, MN 55114-1065 2018-12-03
1992272504 Molly Schacht Registered Nurse 1055 Westgate Dr, Saint Paul, MN 55114-1065 2018-11-01
1548795404 Michelle Cary Physical Therapist 1055 Westgate Dr, Saint Paul, MN 55114-1065 2017-04-27
1396287769 Alyssa M Lonergan Physical Therapist 1055 Westgate Dr, Saint Paul, MN 55114-1065 2016-11-16
1770950263 Vanessa Kruse Nurse Practitioner 1055 Westgate Dr, Ste 100, Saint Paul, MN 55114-1065 2015-08-31
1629473418 Kelley L Paulson Physical Therapist 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2014-10-23
1073928396 Anastasiya Huberty Nurse Practitioner 1055 Westgate Dr, Saint Paul, MN 55114-1065 2014-06-25
1215365606 Maria Tarlue Keita Nurse Practitioner 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2013-10-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790205698 Der Yang Registered Nurse 2356 University Ave W #220, Saint Paul, MN 55114 2017-06-21
1679949358 Mallory Haglund Counselor 284 West Rocky Lane, Boulder, NV 55114 2015-08-17
1083090880 Kayla Estenson Marriage & Family Therapist 2324 University Ave West, 120, St. Paul, MN 55114 2015-08-04
1184023772 Preetanjali Thakur Dentist 2550 University Avenue West Suite 189s, St Paul, MN 55114 2014-08-19
1023426210 Melanie Bayer Witthoft Social Worker 762 Transfer Road, 21, St. Paul, MN 55114 2014-07-31
1184046518 Britni Kelley Marriage & Family Therapist 821 Raymond Ave Ste 325, Saint Paul, MN 55114 2014-01-21
1205257581 Arti Kaul Dentist 808 Berry St, Apy 126, St Paul, MN 55114 2014-01-03
1588907109 Jesus M Calvillo Counselor 821 Raymond Ave Ste 230, Saint Paul, MN 55114 2013-04-02
1154669414 Caringhands Home Health Care Inc. Home Health 2233 University Ave West, Suite 330, St Paul, MN 55114 2013-01-22
1396021424 The Avalon Charter School Local Education Agency (LEA) 700 Glendale Street, Saint Paul, MN 55114 2011-11-03
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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
1538573449 Rebecca Anne Lenz Nurse Practitioner 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 2014-06-18
1720016660 Sasenarine Singh Nurse Practitioner 1690 University Ave W Ste 115, Saint Paul, MN 55104-3118 2006-06-29
1528043171 Kathryn I Kreslins Nurse Practitioner 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2005-12-07
1508397290 Shannon Marie Mooney Nurse Practitioner 45 10th St W, Saint Paul, MN 55102-1062 2017-03-23
1316347313 Amanda Jean Lueck Nurse Practitioner 333 Smith Ave N, Saint Paul, MN 55102-2344 2014-08-27
1215365606 Maria Tarlue Keita Nurse Practitioner 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2013-10-22
1164702742 Kelli A Petersen Nurse Practitioner 1055 Westgate Dr, Saint Paul, MN 55114-1065 2011-08-26
1750684049 Lisa Marie Terhaar Nurse Practitioner 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 2010-12-08
1649438417 Momodou Ceesay Nurse Practitioner 1021 Bandana Blvd E, Suite 214, Saint Paul, MN 55108-5113 2008-05-29
1013067610 Kathleen Annette Keogh Nurse Practitioner 1055 Westgate Dr, Saint Paul, MN 55114-1065 2007-01-12
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55114

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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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