MEDICARE: JENNIFER LYNN BUDD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	45676	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083625057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN BUDD DO

Provider Business Mailing Address
First Line	:	2025 SLOAN PL
Second Line	:	SUITE 35
City	:	SAINT PAUL
State	:	MN
Zip	:	55117-2007
Country	:	US
Telephone Number	:	651-772-1572
Fax Number	:	651-772-1889

Provider Business Practice Location Address
First Line	:	2601 CENTENNIAL DR
Second Line	:	SUITE 100
City	:	NORTH SAINT PAUL
State	:	MN
Zip	:	55109-3086
Country	:	US
Telephone Number	:	651-777-7414
Fax Number	:	651-748-5839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/20/2011

Similar Medicare Providers

1780614610 — MS. NICOLE RAE VIK MD
Practice Location Address:

2601 CENTENNIAL DR , SUITE 100
NORTH ST PAUL, MN
55109-3086

Practice Phone: 651-777-7414
Practice Fax: 651-748-5839

1487665527 — JOSEPH J SACCOMAN MD
Practice Location Address:

2601 CENTENNIAL DR , SUITE 100
NORTH ST PAUL, MN
55109-3086

Practice Phone: 651-777-7414
Practice Fax: 651-748-5839

1316735228 — SAMANTHA DAWN BISHOP
Practice Location Address:

504 SAINT CLARE AVE
GENOA, NE
68640-3086

Practice Phone: 308-482-0909
Practice Fax:

1942238266 — DR. KENNETH ANTHONY DE LUCA PH.D.
Practice Location Address:

35888 CENTER RIDGE RD , SUITE 5
NORTH RIDGEVILLE, OH
44039-3086

Practice Phone: 440-327-1800
Practice Fax: 440-327-1533

1780612432 — MR. TIMOTHY P. GOLBA LISW
Practice Location Address:

35888 CENTER RIDGE RD , SUITE 5
NORTH RIDGEVILLE, OH
44039-3086

Practice Phone: 440-327-1800
Practice Fax: 440-327-1533

1457376485 — ANNA LISA CLARK LISW, LICDC
Practice Location Address:

35888 CENTER RIDGE RD , SUITE 5
NORTH RIDGEVILLE, OH
44039-3086

Practice Phone: 440-327-1800
Practice Fax: 440-327-1533

Directions to “ JENNIFER LYNN BUDD DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.