Healthcare Provider Details

I. General information

NPI: 1336063767
Provider Name (Legal Business Name): DEBORAH LOIS MEISSNER DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PROFESSIONAL DR # 3
NORTHFIELD MN
55057-2755
US

IV. Provider business mailing address

1513 CANNON VALLEY DR
NORTHFIELD MN
55057-3360
US

V. Phone/Fax

Practice location:
  • Phone: 612-816-2009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number13500
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: