Healthcare Provider Details

I. General information

NPI: 1013858216
Provider Name (Legal Business Name): JENNA CATHERINE ERNST MA-SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 145TH ST E
ROSEMOUNT MN
55068-2932
US

IV. Provider business mailing address

1300 145TH ST E
ROSEMOUNT MN
55068-2932
US

V. Phone/Fax

Practice location:
  • Phone: 651-423-8229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1004965
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: