JEAN RAE NEWBY-LOVELACE NPI 1790988913

NPI Information

NPI: 1790988913
Provider Name: JEAN RAE NEWBY-LOVELACE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 672-6000
Get Directions

Jean Rae Newby-lovelace is a gerontology nurse practitioner in Minneapolis, MN with 5 years of experience. Jean Rae Newby-lovelace NPI is 1790988913. 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:

2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454-116
Phone: (612) 672-6000

The NPI 1790988913 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 10/16/2019.

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	133V00000X	Dietitian, Registered		1760-029	WISCONSIN	No
2	363LG0600X	Nurse Practitioner	Gerontology	7007	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: 4/28/2024

NPI Synchronization or Removal

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