JERRY LYNN MADSEN RN FNP-BC NPI 1144587650

NPI Information

NPI: 1144587650
Provider Name: JERRY LYNN MADSEN, RN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4720 BURNING TREE RD
DULUTH, MN
ZIP 55811
Phone: (218) 623-1800
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Jerry Lynn Madsen, RN, FNP-BC is a family nurse practitioner in Duluth, MN. Jerry Lynn Madsen, RN, FNP-BC NPI is 1144587650. 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:

4720 BURNING TREE RD
DULUTH, MN
ZIP 55811-634
Phone: (218) 623-1800
Fax: (218) 623-1811

The NPI 1144587650 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 4/20/2012 and was last updated on 10/10/2017.

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	163W00000X	Registered Nurse		R83926-8	MINNESOTA	No
2	163WC1500X	Registered Nurse	Community Health	R83926-8	MINNESOTA	No
3	363LF0000X	Nurse Practitioner	Family	R83926-8	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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