JEANNETTE KEYSJOHNSON NPI 1053904714

NPI Information

  • NPI: 1053904714
  • Provider Name: JEANNETTE KEYSJOHNSON
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Individual
  • Address: 2323 16TH AVE S APT 100
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (612) 552-9973

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NPI Details

Jeannette Keysjohnson is a hospice care community based in Minneapolis, MN. Jeannette Keysjohnson NPI is 1053904714. 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:

2323 16TH AVE S APT 100
MINNEAPOLIS, MN
ZIP 55404-045
Phone: (612) 552-9973

The enumeration date for this NPI number is 2/14/2021 and was last updated on 3/22/2021.

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
1251G00000XHospice Care, Community BasedMINNESOTAYes
2374U00000XHome Health AideMINNESOTANo

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

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