Healthcare Provider Details

I. General information

NPI: 1609789551
Provider Name (Legal Business Name): JENNIFER L BAUMANN BSN, RN, SANE-A, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E 1ST ST STE 200
DULUTH MN
55802-3032
US

IV. Provider business mailing address

6508 ELINOR ST
DULUTH MN
55807-1131
US

V. Phone/Fax

Practice location:
  • Phone: 218-726-1442
  • Fax:
Mailing address:
  • Phone: 218-726-1442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR2000273
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: