Healthcare Provider Details

I. General information

NPI: 1477471712
Provider Name (Legal Business Name): JILL SCHLESSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FRANCE AVE S STE 300
EDINA MN
55435-2154
US

IV. Provider business mailing address

4420 DUNBERRY LN
MINNEAPOLIS MN
55435-1619
US

V. Phone/Fax

Practice location:
  • Phone: 952-223-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number237355-7
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: