JODIE DUNTLEY CNS MS NPI 1417901109

NPI Information

NPI: 1417901109
Provider Name: JODIE DUNTLEY, CNS, MS
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Address:
701 PARK AVE # S1
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 873-6800
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Jodie Duntley, CNS, MS is a clinical nurse specialist in Minneapolis, MN. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Jodie Duntley, CNS, MS NPI is 1417901109. 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:

701 PARK AVE # S1
MINNEAPOLIS, MN
ZIP 55415-623
Phone: (612) 873-6800
Fax: (612) 904-4322

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/4/2012.

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	364S00000X	Clinical Nurse Specialist		R 115323-1	MINNESOTA	No
2	364S00000X	Clinical Nurse Specialist		348363-05	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
1	S78011	MEDICARE UPIN
2	0006633800	MEDICAID	MINNESOTA
3	890000074	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

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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