JEAN F WYMAN NP NPI 1386738995

NPI Information

NPI: 1386738995
Provider Name: JEAN F WYMAN, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
DEPT OF OB/GYN & WOMEN'S HEALTH
420 DELAWARE STREET SE MMC 395
MINNEAPOLIS, MN
ZIP 55455
Phone: (763) 782-6400
Get Directions

Jean F Wyman, NP is a gerontology nurse practitioner in Minneapolis, MN. Jean F Wyman, NP NPI is 1386738995. 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:

DEPT OF OB/GYN & WOMEN'S HEALTH
420 DELAWARE STREET SE MMC 395
MINNEAPOLIS, MN
ZIP 55455
Phone: (763) 782-6400
Fax: (763) 782-9558

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

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	363LG0600X	Nurse Practitioner	Gerontology	R 138190-6	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B612	OTHER	MINNESOTA	CHAMPUS
2	04-04568	OTHER	MINNESOTA	MEDICA - PRIMARY
3	04-08300	OTHER	MINNESOTA	MEDICA - CHOICE
4	2378192	OTHER	MINNESOTA	ARAZ
5	41262700	MEDICAID	WISCONSIN
6	HP27464	OTHER	MINNESOTA	HEALTHPARTNERS
7	123361	OTHER	MINNESOTA	UCARE
8	84536-2	OTHER	MINNESOTA	FAIRVIEW CAREGIVE
9	1019243	OTHER	MINNESOTA	PREFERRED ONE
10	S74961	MEDICARE UPIN	MINNESOTA
11	0715078	MEDICAID	IOWA
12	502K7WY	OTHER	MINNESOTA	BCBS
13	4305977	MEDICAID	MONTANA

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: 4/28/2024

NPI Synchronization or Removal

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