Healthcare Provider Details

I. General information

NPI: 1285829754
Provider Name (Legal Business Name): JENNIFER MARY HIERLINGER A.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8170 33RD AVE S
BLOOMINGTON MN
55425-1614
US

IV. Provider business mailing address

8170 33RD AVE S
BLOOMINGTON MN
55425-1614
US

V. Phone/Fax

Practice location:
  • Phone: 952-883-6877
  • Fax: 952-213-4327
Mailing address:
  • Phone: 952-883-6877
  • Fax: 952-213-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number864
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR 153888-5
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR153888-5
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: