NICOLE MARIE JENABZADEH CNP NPI 1215224092

NPI Information

NPI: 1215224092
Provider Name: NICOLE MARIE JENABZADEH, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
130 CHESHIRE LN STE 100
MINNETONKA, MN
ZIP 55305
Phone: (952) 807-0415
Get Directions

Nicole Marie Jenabzadeh, CNP is a family nurse practitioner in Minnetonka, MN. Nicole Marie Jenabzadeh, CNP NPI is 1215224092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 CHESHIRE LN STE 100
MINNETONKA, MN
ZIP 55305-002
Phone: (952) 807-0415
Fax: (952) 236-6461

The enumeration date for this NPI number is 6/30/2011 and was last updated on 12/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F05111030	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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