JACK H DUFFY NPI 1003419003

NPI Information

  • NPI: 1003419003
  • Provider Name: JACK H DUFFY
  • Classification: Health Educator - 174H00000X
  • Entity Type: Individual
  • Address: 56- 66 1/2 WAY NE
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 381-9936

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NPI Details

Jack H Duffy is a health educator in Fridley, MN. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. Jack H Duffy NPI is 1003419003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

56- 66 1/2 WAY NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 381-9936

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

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
1174H00000XHealth EducatorYes

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: 11/21/2025

NPI Synchronization or Removal

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