Healthcare Provider Details
I. General information
NPI: 1912941519
Provider Name (Legal Business Name): JEANNE MARIE ADAMS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
516 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US
IV. Provider business mailing address
420 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US
V. Phone/Fax
- Phone: 612-626-3444
- Fax:
- Phone: 612-626-3111
- Fax: 612-626-0665
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | R 162462-1 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | R 162462-1 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: